Trpc3 as a therapeutic target for alzheimer&#39;s disease

ABSTRACT

Provided herein, in some embodiments, are methods for modulating expression and/or activity of transient receptor potential cation channel subfamily C, member 3 (TRPC3), as well as methods of treating Alzheimer&#39;s disease.

RELATED APPLICATION

This application claims the benefit under 35 U.S.C. § 119(e) of U.S. provisional application No. 62/770,095, filed Nov. 20, 2018, which is incorporated by reference herein in its entirety.

FEDERALLY SPONSORED RESEARCH

The invention was made with government support under Grant Nos. R01AG054180, R01AG057914, R01DK102918, F31AG050357, awarded by the National Institutes of Health. The government has certain rights in the invention.

BACKGROUND

Alzheimer's disease (AD) is a neurodegenerative disorder characterized by both dementia and the accumulation of neuropathological amyloid plaques and tau tangles. Mutations that drive overproduction of beta-amyloid (Aβ) have been shown to cause early onset familial AD (FAD), leading to a model in which production and accumulation of Aβ is thought to be an initiating event in a sequence leading to memory loss, neurodegeneration, gliosis, and synaptic dysfunction. Strategies to directly target amyloid for clearance have not translated into successful treatments, and the number of deaths attributable to AD as well as costs associated with the disease continue to rise. In addition, even among patients with FAD mutations, the age at first symptom onset is widely variable, with some patients exhibiting symptoms decades later than predicted based on mutation status, suggesting additional genetic factors exist that may provide protection from disease.

SUMMARY

Identifying genes that modify symptoms of Alzheimer's disease (AD) provides novel therapeutic strategies to prevent, treat, cure or delay the onset of AD. To discover genetic modifiers of AD, a mouse model of AD was combined with a genetically diverse reference panel to generate F1 mice harboring identical ‘high-risk’ human AD mutations but that differ across the remainder of their genome. The present disclosure validates the reference panel as an AD model by demonstrating its high degree of phenotypic, transcriptomic, and genetic overlap with human AD. As genetic variation has been shown to modify the impact of causal human AD mutations, the reference panel and resulting mouse model is an innovative resource for the study of AD. Viral-mediated knockdown was used to functionally validate Trpc3 as a modifier of AD.

Thus, some aspects of the present disclosure provide methods comprising delivering to a subject who has AD an agent that modulates (e.g., decreases) TRPC3 expression and/or activity. In some embodiments, the subject is a human subject.

Other aspects of the present disclosure provide methods comprising administering to an AD mouse model a candidate agent (e.g., that may modulate, e.g., decrease TRPC3 expression and/or activity), and assaying the mouse for an improvement in a symptom of AD and/or assaying the mouse for an adverse effect. In some embodiments, the AD mouse model is an AD-BXD mouse (see, e.g., Neuner S M et al. bioR_(x)iv Systems genetics identifies modifiers of Alzheimer's disease risk and resilience (doi.org/10.1101/225714), including Supplemental Materials, herein incorporated by reference in its entirely).

In some embodiments, the agent is delivered in an amount effective to alleviate one or more symptoms of AD. In some embodiments, the agent is delivered in an amount effective to slow or stop progression of AD. In some embodiments, the agent is delivered in an amount effective to improve working memory performance at least 10% compared to the subject's working memory performance prior to delivery of the agent. In some embodiments, the agent reduces the amount of beta-amyloid plaque by at least 40% compared the amount of beta-amyloid plaque prior to administration of the agent.

In some embodiments, the agent is selected from polynucleotides, polypeptides, and small molecule drugs.

Other aspects of the present disclosure provide methods that comprise delivering to a subject an agent that decreases expression of, or decrease activity of, a product encoded by a pathway gene upstream from or downstream from TRPC3, wherein the subject has AD.

Further aspects of the present disclosure provide methods comprising contacting a neuronal cell that expresses TRPC3 with an agent that decreases TRPC3 expression and/or activity.

Still further aspects of the present disclosure provide method for producing a panel of AD-BXD mice, the method comprising breeding female congenic C57BL/6J mice hemizygous for the dominant 5XFAD transgene with genetically diverse recombinant male mice from the BXD genetic reference panel, and producing F1 progeny, wherein the F1 progeny are isogenic recombinant inbred backcross mice, each harboring one maternally derived B allele and either a B or D paternally derived allele at any given genomic locus.

In some embodiments, the TRPC3 comprises an amino acid sequence of any one of SEQ ID NOS: 1-3. In some embodiments, the TRPC3 is encoded by a nucleic acid sequence of any one of SEQ ID NOS: 4-6.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1A-1I: Genetic background modifies AD symptoms in a novel transgenic reference panel. (A) Female B6 mice heterozygous for the dominant 5XFAD transgene were bred to males from 27 BXD strains to generate genetically diverse but isogenic F1 offspring. (B) Body weight and working memory on the y-maze were measured bi-monthly, and at 6 and 14 months more detailed phenotyping was performed. (C) As expected, onset of working memory deficits was significantly earlier in ADBXDs compared to Ntg-BXDs [AD-BXDs: n=223 (123 females/100 males) across 28 strains vs Ntg-BXDs, n=168 mice (107 female/61 male) across 25 strains, one-tailed t(1,51)=2.1, p=0.02]. (D) AD-BXD mice exhibited contextual fear acquisition (CFA) comparable to Ntg-BXD mice at 6 m [left, one-tailed t(1, 48)=1.4, p=0.08] but are impaired by 14 m [right, one-tailed t(1, 49)=2.0, p=0.03] months. Within AD-BXD mice, background strain significantly modified the impact of the transgene on CFA [effect of strain F(26, 354)=3.3, p<0.001]. (E) AD-BXD mice exhibit recall comparable to Ntg-BXDs during the contextual fear memory (CFM) task at 6 months [left, one-tailed t(1,48)=1.4, p=0.08] but are impaired by 14 months [right, one-tailed t(1, 49)=1.9, p=0.03]. Within AD-BXD mice, background strain significantly modified the impact of the transgene on CFM [effect of strain F(26, 354)=3.5, p<0.001]. For D and E, 146 6 m AD-BXD (102 females/44 males) and 209 14 m AD-BXD (111 females/98 males) across 26 strains were used, along with 114 6 m Ntg-BXD (83 females/31 males) across 24 strains and 167 14 m Ntg-BXD mice (106 females/61 males) across 27 strains. (F) and (G) Aβ42, as measured by ELISA, increased drastically from 6 to 14 m [effect of age F(1,153)=128.0, p<0.001] but varied significantly across genetic backgrounds [effect of strain F(22,153)=2.0, p=0.01]. n=154 mice (89 female/65 male) across 23 strains. ND=no data. Strain B6SJL represents the original background strain described in Oakley et al. 2006 for comparison. (H, left) Transgene expression was assessed in subset of AD and Ntg-BXD lines [n=293 (177 females/116 males across 28 strains)]. RNA sequencing reads from the hippocampus were aligned to the human mutant sequence of APP, quantified by number of transcripts per million reads (TPM), and log transformed. AD-BXD mice exhibited significantly greater hAPP expression [t(1, 291)=92.3, p<0.001]. Across the AD-BXDs, there was no significant effects of age, sex, or (H, right) background strain. Only strains with Aβ42 data are shown here for comparison to F and G. (I, left) Same analysis was done for reads aligned to the mouse endogenous App. Across the panel, 5XFAD mice exhibited slight but significant reduction in App [t(1,291)=2.6, p=0.01]. However, within AD-BXD mice there was no effect of age, sex, or (I, right) background strain. For plots C-E, each point represents a strain average. All t-tests in C-E were one-tailed tests based on prior data assessing effects of the 5XFAD transgene on cognitive function (Kaczorowski et al., 2011; Oakley et al., 2006; Ohno, 2009); *p<0.05.

FIGS. 2A-2C: AD-BXD panel is sensitive to variation in known AD risk gene Apoe. (A) The D allele harbors only a single E>D missense SNP at mouse 163 (red). (B) Across AD-BXD mice, there was a significant effect of Apoe allele [F(1, 354)=4.7, p=0.03], age [F(1,354)=12.3, p=0.001], and sex [F(1,354)=17.9, p<0.001] on contextual fear acquisition (CFA). There was a trend toward Apoe having a more significant effect on CFA in females than in males [strain*sex interaction, F(1, 354)=3.2, p=0.08]. (C) Across AD-BXD mice, there was a significant effect of Apoe allele [F(1, 354)=20.9, p<0.001], age [F(1,354)=86.2, p<0.001], sex [F(1, 354)=4.9, p=0.03], and an age by sex interaction [F(1, 354)=7.6, p=0.006] on contextual fear memory (CFM), demonstrating that while strains carrying the D allele at Apoe do indeed perform more poorly on this task, all female AD mice are more susceptible to AD-related cognitive decline as measured by CFM.

FIGS. 3A-3H: Genetic risk score calculated from genotype at known AD risk genes predicts cognitive decline. (A) Strains were stratified into impaired (below population average) and unimpaired (above population average) based 6 m CFM performance. (9) Genetic risk scores (GRS) were calculated for each strain based on allelic composition of 21 genes known to confer risk for AD. The risk allele of each gene was defined as that which appeared more frequently in the impaired population pictured in (A). (C) GRS significantly predicts how a given AD-BXD strain will perform on CFA at 14 m. (D) No relationship between GRS and (TA in 14 m Ntg-BXD mice was observed. (E) No relationship between GRS and non-cognitive traits across ADBXDs including amyloid load at 14 m, (F) 14 m weight, (G) 14 m sensorimotor performance, (H) or anxiety as measured by percent open entries on the elevated plus maze was observed.

FIGS. 4A-4B: Genetic background modifies AD-associated transcriptome. (A) Genes known to be associated with AD are differentially expressed in our panel, n=132 mice (65 females/67 males across 15 strains). Each point represents a single genotype/strain/age/sex averaged sample, **p<0.05 two-tailed t-test. (B) List of top gene ontology (GO) functional categories enriched among genes (left) downregulated and (right) upregulated in all ADBXDs relative to all Ntg-BXDs.

FIGS. 5A-5C: Aged AD-BXD transcriptome shows high concordance with late-onset human AD signature. (A) 39 out of 60 (65%) of AD signature genes identified by and Blalock (Hargis and Blalock, 2017) show concordant significant changes in expression across mouse and human transcriptomes. The log 2 fold change (FC) of significantly differentially expressed genes between 14 m AD- and Ntg-BXDs is plotted on the y-axis, while the log 2FC of gene expression between human AD patients and controls from study by a study by Berchtold and colleagues (Berchtold et al., 2013) is plotted on the x-axis. Each point represents a single gene; discordant genes with log 2 fold changes with opposite direction have been highlighted in red. (B) Genes upregulated in 14 m AD-BXDs relative to Ntg-BXDs were compared to genes associated with human AD by (top) Zhang and colleagues (Zhang et 2013) and (bottom) Jones and colleagues (International Genomics of Alzheimer's Disease, 2015). A significant overlap was identified in both cases. (C) Graph of enrichment strength of gene ontology (GO) categories across (y-axis) mouse AD or (xaxis) normal aging. Gene set enrichment analysis was performed on genes identified to be differentially expressed relative to 5XFAD carrier status or normal aging in Ntg-BXDs (data not shown). For GO terms that were identified in both scenarios, the FDR q-values were transformed to obtain a measure of enrichment strength and scores were plotted against each other to identify unique and/or common differentially regulated GO terms. As such, each axis can be thought of significance; the upper left quadrant highlights pathways that are uniquely significantly altered in AD-BXDs relative to Ntg-BXDs, while the bottom right quadrant highlights pathways that are uniquely significantly altered in normal aging (14 m Ntg-BXDs vs 6 m Ntg-BXDs). Data points are colored based on directionality of enrichment score calculated by GSEA: red=genes belonging to this category were significantly upregulated in given scenario, blue=genes belonging to this category were significantly downregulated in given scenario. Dotted lines represent, enrichment scores for FDR q-value=0.05.

FIGS. 6A-6G show that knockdown of candidate Trpc3 delays AD symptoms in a mouse model of AD. (A) TRPC3 protein is increased in the hippocampus of 5XFAD mice as measured by Western blot [n=4/grp, t(1,6)=3.74, p=0.01]. (B) AAV9 encoding either shRNA targeting Trpc3 (shRNA-Trpc3) or a scrambled control shRNA (shRNA-Ctrl) was delivered bilaterally into the hippocampus of presymptomatic 4 month-old 5XFAD mice. Working memory was assessed on the y-maze at 9 months while CFM was assessed at 10 months. (C) There was a significant effect of group on working memory [F(2, 28)=10.6, p<0.001], with 5XFAD shRNA-Ctrl mice exhibiting impairment relative to both Ntg shRNA-Ctrl mice [post-hoc t-test, t(1,18)=4.4, p<0.001] and 5XFAD shRNA-Trpc3 mice [01,18)=2.2, p=0.04]. (D) Left, all mice exhibited similar levels of freezing after the final training shock, indicating comparable acquisition across groups [F(2,26)=1.1, p>0.3]. Right, there was a significant effect of group on CFM [F(2,26)=3.4, p=0.05]. 5XFAD shRNA-Ctrl mice exhibited impairment relative to both Ntg shRNA-Ctrl mice [01,17)=2.3, p=0.03] and 5XFAD shRNA-Trpc3 mice [01,18)=2.1, p=0.047], who performed comparably (p>0.05). (E) Left, representative 2× images of coronal brain sections from 10 month 5XFAD mice. The levels function in Photoshop was used identically across all images to increase visibility. (F) There was a significant effect of group on number of Aβ42 immunoreactive plaques in the hippocampus and cortex [F(2,11)=5.5, p=0.03]. 5XFAD shRNA-Trpc3 mice showed a decrease in the number of plaques in the hippocampus and cortex compared to 5XFAD shRNA-Ctrl mice [one-tailed t-test, t(1,7)=2.0, p=0.04] and were not significantly different than Ntg mice [t(1,6)=1.8, p=0.12). (G) A significant association was observed between TRPC3 expression in the prefrontal cortex and a measure of brain-wide amyloid burden in neuritic plaque positive human AD cases (p=0.0005).

FIGS. 7A-7C show that knockdown of Trpc3 does not have non-specific effects on activity or anxiety. (A) There was no main effect of group on distance travelled in the Y-maze [F(2, 28)=0.74, p>0.40]. (B) There was also no main effect of group on total arms entered in the Y-maze [F(2, 28)=0.29, p>0.75]. (C) There was no main effect of group on baseline freezing prior to any foot shocks during contextual fear conditioning training [F(2, 26)=0.10, p>0.90].

FIGS. 8A-8C show that knockdown of Trpc3 delays cognitive aging in non-transgenic mice. (A) Two cohorts of mice were used in this study. For the aged cohort, AAV9 encoding either shRNA targeting Trpc3 (shRNA-Trpc3) or a scrambled control shRNA (shRNA-Ctrl) was delivered bilaterally into the hippocampus of young 4 month-old Ntg-B6J mice. Working memory was assessed on the Y-maze at 20 months (20 m) while CFM was assessed at 26 m. The young cohort consisted of Ntg-B6J mice that received surgery at 2 months old (or no surgery controls) and was cognitively assessed at 4 months of age and fear-conditioned concurrently with the aged cohort. (B) Aged mice that received control injections exhibited significantly impaired working memory as compared to young controls [t(1,15)=3.2, p=0.005]. However, aged mice that received injections of shRNA-Trpc3 were not impaired [t(1,13)=0.8, p=0.4] relative to controls and performed significantly better than aged mice that received control injections [t(1, 20)=3.7, p=0.002]. (C) Aged mice that received control injections exhibited significantly impaired contextual fear memory relative to young controls [one-tailed t-test, t(1, 37)=1.9, p=0.03]. However, aged mice that received injections of shRNA-Trpc3 were not impaired [t(1, 31)=0.1, p=0.9] and performed significantly better than aged control mice [t(1,38)=2.2, p=0.03].

DETAILED DESCRIPTION

Alzheimer's disease (AD) is a neurodegenerative disorder characterized by both dementia and the accumulation of neuropathological amyloid plaques and tau tangles. Mutations that drive overproduction of beta-amyloid (Aβ) have been shown to cause early onset familial AD (FAD), leading to a model in which production and accumulation of AP is thought to be an initiating event in a sequence leading to memory loss, neurodegeneration, gliosis, and synaptic dysfunction. However, strategies to directly target amyloid for clearance have failed to translate into successful treatments and the number of deaths attributable to AD and costs associated with the disease continue to rise.

A goal of mouse studies relating to AD is the eventual translation of identified candidates into viable human therapeutics or biomarkers of disease. Thus, mouse models harboring causal AD mutations are important tools that present many advantages including defined high-risk genotypes, early access to brain tissue, and precise environmental control. The AD-BXD panel, the first AD transgenic mouse reference panel, is a valuable resource that demonstrates high levels of overlap between the AD-BXD mice and human AD at the phenotypic, transcriptomic, and genetic level. This panel combines two well-established resources: (1) the 5XFAD transgenic line on an otherwise fully inbred C57BL/6J (B6) background that recapitulates various aspects of the human disease, including amyloid-β42 accumulation, cognitive deficits, and neuron loss (Oakley et al., The Journal of Neuroscience, 26: 10129-10140 (2006)), and (2) the BXD genetic reference panel, the largest and best-characterized series of recombinant inbred strains derived from the two common inbred strains B6 and DBA/2J (D2) (Peirce et al., BMC genetics 5: 7 (2004); Taylor et al., Mamm Genome 10: 335-348 (1999)). The BXD panel segregates for more than 4.8 million sequence variants, including many in genes known to confer risk for AD (Wang et al., Nat Commun 7: 10464 (2016)). The resulting panel of F1 hybrids represent a novel and fully isogenic resource to monitor phenotypic outcomes in individuals harboring identical high-risk FAD mutations in human APP and PSEN1 genes, raised in controlled environments, but whose allelic contributions differ across the remainder of the genome.

Trpc3 was identified as a candidate modifier of cognitive deficits and amyloid pathology, and viral-mediated knockdown was used to functionally validate Trpc3 as a modifier of AD. In addition to its utility as a potential biomarker, Trpc3 may be targeted mechanistically to treat disease. The translational relevance of this idea is supported by the association identified herein between levels of TRPC3 in human patients and a measure of brain-wide amyloid burden. The discovery of the differences in gene expression between human subjects with and without AD may provide new insight into the prevention and treatment of AD. Further, therapeutics, such as the agents described herein, may focus on Trpc3 or targets/cellular mechanisms that exist upstream and/or downstream of Trpc3 itself.

In some aspects, the present disclosure provide methods of contacting a neuronal cell (neuron) with an agent that decreases the expression of TRPC3 or the activity of TRPC3 (decreases TRPC3 expression and/or activity), a protein identified herein as present at different levels in the hippocampal region of an AD mouse model. Other aspects of the present disclosure provide methods of delivering to a subject having AD, suspected of having AD, or at risk of developing AD, an agent that decreases the expression of TRPC3 or the activity of TRPC3.

Contacting a neuronal cell with an agent includes exposing a neuronal cell (e.g., in vivo or in vitro) to an agent (e.g., a therapeutic agent) such that the neuronal cell comes into physical contact with the agent. For example, the step of contacting a neuronal cell with an agent may include delivering the agent to a composition that includes the neuronal cell, and/or delivering the neuronal cell to a composition that includes the agent. A neuronal cell may also be contacted by an agent when the agent is delivered to a subject in which the neuronal cell is present (e.g., brain).

Delivery of an agent to a subject may be by any route known in art. For example, delivery of the agent may be intravenous (e.g., viral vectors, exosomes), intranasal, intramuscular, intrathecal, or subcutaneous. Other delivery routes may be used.

An agent, in some embodiments, is a therapeutic agent and/or a prophylactic agent. An agent may be a biomolecule or a chemical agent. In some embodiments, an agent is a polynucleotide (e.g., double-stranded or single-stranded DNA or RNA, such as a guide RNA (gRNA) (e.g., in combination with Cas9), messenger RNA (mRNA), or an RNA interference (RNAi) molecule, such as antisense RNA, small interfering RNAs (siRNAs), short hairpin RNAs (shRNAs), and/or microRNAs (miRNAs)). In some embodiments, an agent is a polypeptide (e.g., protein and/or peptide). Non-limiting examples of polypeptides include antibodies (e.g., monoclonal antibodies and/or antibody fragments, such as single change variable fragments (scFvs)). An agent, in some embodiments, is a cellular agent, such as a stem cell (e.g., pluripotent stem cell, such as an induced pluripotent stem cell). In some embodiments, an agent is small molecule drug (e.g., chemical compound).

An agent is considered to decrease expression of a gene (e.g., TRPC3) if expression of the gene is decreased following exposure of the agent to a neuronal cell comprising the gene. In some embodiments, the change in gene expression is relative to a control, such as gene expression from a neuronal cell not exposed to the agent. In some embodiments, an agent decreases expression of a gene by at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 100% (e.g., by 10%-100%), relative to a control.

Likewise, an agent is considered to decrease activity of a product (e.g., protein, such as TRPC3 protein) encoded by a gene if activity of the product is decreased following exposure of the agent to a neuronal cell comprising the gene encoding the protein. In some embodiments, the change in activity is relative to a control, such as activity in a neuronal cell not exposed to the agent. In some embodiments, an agent decreases activity of a product by at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 100% (e.g., by 10%-100%), relative to a control.

In some embodiments, an agent decreases expression of a gene (e.g., TRPC3) by at least 1.5-fold, at least 2-fold, at least 3-fold, at least 4-fold, at least 5-fold, at least 6-fold, at least 7-fold, at least 8-fold, at least 9-fold, at least 10-fold, at least 11-fold, at least 12-fold, at least 13-fold, at least 14-fold, at least 15-fold, at least 16-fold, at least 17-fold, at least 18-fold, at least 19-fold, or at least 20-fold (e.g., 1.5 fold-20-fold).

Neuronal cells (e.g., human neuronal cells or rodent neuronal cells) include neurons. Other brain cell types are encompassed by the present disclosure, including, for example, neuroglia (e.g., oligodendrocytes, microglia, and astrocytes). Examples of neuronal cells include Purkinje cells, granule cells, motor neurons, tripolar neurons, pyramidal cells, chandelier cells, spindle neurons, and stellate cells. In some embodiments, a neuronal cell (neuron) is present in the hippocampus (e.g., hippocampal long spines), cortex, or cerebellum. Neurons of the present disclosure, in some embodiments, are used to test the function of an agent (e.g., in vitro), for example, the extent to which (if any) and agent modifies (e.g., decreases) expression of a gene or activity of a product encoded by a gene as provide herein. Thus, in some embodiments, neurons (e.g., in vitro or in an in vivo mouse model) may be modified (e.g., genomically modified) to express or under-express (e.g., knock out or knockdown) expression of TRPC3 (or upstream or downstream genes) as provided herein.

A subject may be a human subject or a rodent (e.g., a mouse model). In some embodiments, the subject is a transgenic mouse that expresses or under-expresses (e.g., knocks out or knocks down) expression of TRPC3 (or upstream or downstream genes) as provided herein. In some embodiments, the subject is a human subject, for example, a subject having or suspected of having (e.g., diagnosed with and/or exhibits symptoms of) or at risk of developing (e.g., has one or more risk factors) Alzheimer's disease.

Alzheimer's Disease

In some aspects, the present disclosure provides a method of delivering to a subject having Alzheimer's disease (AD), an agent that modifies the expression of TRPC3. AD is a disorder of the brain. Manifestations of AD include abnormal structure(s), function(s), or other process(es) in the brain. AD is the most common form of dementia, a term that encompasses memory loss and other intellectual abilities series enough to interfere with the activities of daily life.

Management of AD includes maintaining quality of life, maximizing function in daily activities, enhancing cognition/mood/behavior, fostering a safe environment, and promoting social engagement. While there is no cure for AD, medications and various management strategies are used to temporarily improve symptoms and to slow the progression of the disease. Medications that may be used are directed to cognitive enhancement (e.g., improving mental function, lowering blood pressure, and balancing mood), and include Donepezil, Galantamine, Memantine, and Rivastigmine. Any of the foregoing medications may be used in combination with agents that increase TRPC3 expression and/or activity.

AD results from changing brain chemistry, for example changes in neurons. As the disease progresses, neurons throughout the brain decrease in size and number of synaptic connections, and the resulting reduction in synaptic density is particularly detrimental to cognitive function. The population of neurons also decreases. AD is further characterized by a loss of synapses and neurons in the cerebral cortex and other areas of the brain, as well as the accumulation of extracellular protein-containing deposits (amyloid plaques) and neurofibrillary tangles (tau tangles). Plaques are dense deposits of beta-amyloid peptide and cellular material located outside and around neurons. Tangles comprise aggregates of microtubule-associated tau protein. The tau protein becomes hyperphosphorylated and accumulates within the neurons themselves. The neurons impacted by the plaques and tangles then lose their respective synaptic connections with other neurons, and may die. Thus, in some embodiments, neurons of the cerebral cortex are contacted with an agent that decreases TRPC3 expression and/or activity, for example, in an amount that reduces accumulation of beta-amyloid peptide and/or tau protein.

Symptoms of AD include decreases in cognitive function, such as decreases in processing speed (e.g., speed at which cognitive activities are performed, speed of motor responses), attention (e.g., ability to concentrate and focus on specific stimuli), memory (e.g., episodic memory, semantic memory), visuospatial constructions, and executive functioning (e.g., the ability to engage in independent, appropriate, purposive behavior). Other symptoms of AD include behavioral changes (e.g., aggression, agitation, difficulty with self-care, irritability, personality changes, restlessness, lack of restrain, wandering, becoming lost), mood changes (e.g., anger, apathy, general discontent, loneliness, mood swings), psychological changes (e.g., depression, hallucinations, paranoia), as well as several miscellaneous symptoms, including the inability to combine muscle movements, jumbled speech, and loss of appetite. Risk factors for AD, in addition to age and heritability factors, may include diabetes, mid-life obesity, mid-life hypertension, hyperlipidemia, smoking status, diet, physical activity, alcohol consumption, cognitive training, social engagement, traumatic brain injury, depression, and lack of sleep.

In some embodiments, a subject of the present disclosure exhibits one or more symptoms and/or risk factors of AD.

Treatment of AD includes, in some embodiments, alleviating one or more symptoms of AD. Alleviation of AD refers to the process of making the symptoms of AD less intense and/or more bearable. Treatment of AD includes, in some embodiments, alleviating symptoms of cognitive decline. In some embodiments, an agent is delivered in an amount effective to alleviate one or more symptoms of AD. In some embodiments, an agent is delivered in an amount effective to slow or stop progression of AD.

Working memory, the capacity to simultaneously manipulate information while maintaining other information, is impaired in subjects with AD. A number of different working memory tests are available and known in the art, for example, the complex span paradigm (Daneman, 1980) and its numerous variations. In some embodiments, an agent is delivered an amount effective to improve working memory performance by at least 10% compared to the subject's working memory performance prior to delivery of the agent (e.g., within 1 week to 3 months prior). In some embodiments, an agent improves working memory performance by at least 5%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 100% (e.g., by 10%-100%), subject's working memory performance prior to delivery of the agent.

In some embodiments, an agent improves working memory performance by at least 1.5-fold, at least 2-fold, at least 3-fold, at least 4-fold, at least 5-fold, at least 6-fold, at least 7-fold, at least 8-fold, at least 9-fold, at least 10-fold, at least 11-fold, at least 12-fold, at least 13-fold, at least 14-fold, at least 15-fold, at least 16-fold, at least 17-fold, at least 18-fold, at least 19-fold, or at least 20-fold (e.g., 1.5 fold-20-fold), relative to the subject's working memory performance prior to delivery of the agent.

In some embodiments, an agent is delivered in an amount effective to reduce the amount of beta-amyloid plaque by at least 40% compared to the amount of beta-amyloid plaque prior to administration of the agent. In some embodiments, an agent reduces the amount of beta-amyloid plaque by at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 100% (e.g., by 20%-100%), relative to the amount beta-amyloid plaque prior to administration of the agent.

In some embodiments, an agent reduces the amount of beta-amyloid plaque in a subject by at least 1.5-fold, at least 2-fold, at least 3-fold, at least 4-fold, at least 5-fold, at least 6-fold, at least 7-fold, at least 8-fold, at least 9-fold, at least 10-fold, at least 11-fold, at least 12-fold, at least 13-fold, at least 14-fold, at least 15-fold, at least 16-fold, at least 17-fold, at least 18-fold, at least 19-fold, or at least 20-fold (e.g., 1.5 fold-20-fold), relative to the amount beta-amyloid plaque prior to administration of the agent. For an example blood test to detect plaques in the brain, see, e.g., newscientist.com/article/2141198-blood-test-detects-alzheimers-plaques-building-up-in-brain). Magnetic resonance imaging (MRI) may also be used.

In some aspects, neurons of a subject having AD exhibit aberrant expression (e.g., increased expression) of TRPC3 compared to a subject not having AD (e.g., an age-matched naïve subject).

TRPC3

In some aspects, the present disclosure provides methods of delivering to a neuronal cell (neuron) or to a subject (e.g., having AD or at risk of AD) an agent that modifies the expression of TRPC3 or the activity of a product (e.g., TRPC3 protein) encoded by TRPC3 differentially expressed by neurons, as provided herein. The transient receptor potential cation channel subfamily C member 3 (TRPC3) (Gene ID: 7222) encodes the TRPC3 protein. The TRPC3 protein is a membrane protein that can form a non-selective channel permeable to cations, such as calcium. The protein may be induced to form channels in conditions of low intracellular calcium stores and/or by a receptor tyrosine kinase-activated phosphatidylinositol second messenger system or G-protein coupled receptors. Together with TRPC6 and TRPC7, TRPC3 is implicated in the regulation of vascular tone, cell growth, proliferation, and pathological hypertrophy. As described herein, increases in TRPC3 are associated with amyloid load and AD-related cognitive symptoms in a mouse model of AD. Thus, increased levels of TRPC3 expression and/or activity may be indicative of AD.

In some embodiments, the TRPC3 is a human TRPC3 (hTRPC3). Non-limiting examples of hTRPC3 proteins of the present disclosure include an hTRPC3 protein comprising an amino acid sequence of SEQ ID NO: 1 and/or encoded by a nucleic acid sequence of SEQ ID NO: 4 (e.g., UniProt Q13507-2; GenBank NP_001124170.1/NM_001130698.1), an hTRPC3 protein comprising an amino acid sequence of SEQ ID NO: 2 and/or encoded by a nucleic acid sequence of SEQ ID NO: 5 (e.g., UniProt Q13507-3; NP_003296.1/NM_003305.2), and an hTRPC3 protein comprising an amino acid sequence of SEQ ID NO: 3 and/or encoded by a nucleic acid sequence of SEQ ID NO: 6 (NP_001353408.1/NM_001366479.1). In some embodiments, an agent modifies an hTRPC3 that comprises an amino acid sequence of SEQ ID NO: 1 and/or is encoded by a nucleic acid sequence of SEQ ID NO: 4. In some embodiments, an agent modifies an hTRPC3 that comprises an amino acid sequence of SEQ ID NO: 2 and/or is encoded by a nucleic acid sequence of SEQ ID NO: 5. In some embodiments, an agent modifies an hTRPC3 that comprises the amino acid sequence of SEQ ID NO: 3 and/or is encoded by a nucleic acid sequence of SEQ ID NO: 6.

Thus, in some embodiments, provided herein are methods of delivering to a neuronal cell (neuron) or to a subject (e.g., having AD or at risk of AD) an agent that modifies the expression of TRPC3 or the activity of a product (e.g., TRPC3 protein) encoded by TRPC3, wherein the TRPC3 comprises a nucleic acid sequence of any one of SEQ ID NOS: 4-6 or encodes a TRPC3 protein comprising an amino acid sequence of any one of SEQ ID NOS: 1-3.

GenBank NP_001124170.1 (TRPC3 long form; 921 amino acids) (SEQ ID NO: 1) MSTKVRKCKEQARVTFPAPEEEEDEGEDEGAEPQRRRRGWRGVNGGLEPRSAPSQREPHGYCPPPFSHGPDLSMEGSPSLRR MTVMREKGRRQAVRGPAFMFNDRGTSLTAEEERFLDAAEYGNIPVVRKMLEESKTLNVNCVDYMGQNALQLAVGNEHLEVTE LLLKKENLARIGDALLLAISKGYVRIVEAILNHPGFAASKRLTLSPCEQELQDDDFYAYDEDGTRFSPDITPIILAAHCQKY EVVHMLLMKGARIERPHDYFCKCGDCMEKQRHDSFSHSRSRINAYKGLASPAYLSLSSEDPVLTALELSNELAKLANIEKEF  KNDYRKLSMQCKDFVVGVLDLCRDSEEVEAILNGDLESAEPLEVHRHKASLSRVKLAIKYEVKKFVAHPNCQQQLLTIWYEN LSGLREQTIAIKCLVVLVVALGLPFLAIGYWIAPCSRLGKILRSPFMKFVAHAASFIIFLGLLVFNASDRFEGITTLPNITV TDYPKQIFRVKTTQFTWTEMLIMVWVLGMMWSECKELWLEGPREYILQLWNVLDFGMLSIFIAAFTARFLAFLQATKAQQYV   DSYVQESDLSEVTLPPEIQYFTYARDKWLPSDPQIISEGLYAIAVVLSFSRIAYILPANESFGPLQISLGRTVKDIFKFMVL FIMVFFAFMIGMFILYSYYLGAKVNAAFTTVEESFKTLFWSIFGLSEVTSVVLKYDHKFIENIGYVLYGIYNVTMVVVLLNM LIAMINSSYQEIEDDSDVEWKFARSKLWLSYFDDGKTLPPPFSLVPSPKSFVYFIMRIVNFPKCRRRRLQKDIEMGMGNSKS RLNLFTQSNSRVFESSFNSILNQPTRYQQIMKRLIKRYVLKAQVDKENDEVNEGELKEIKQDISSLRYELLEDKSQATEELA ILIHKLSEKLNPSMLRCE GenBank NP_003296.1 (TRPC3 short form; 848 amino acids) (SEQ ID NO: 2) MEGSPSLRRMTVMREKGRRQAVRGPAFMFNDRGTSLTAEEERFLDAAEYGNIPVVRKMLEESKTLNVNCVDYMGQNALQLAV GNEHLEVTELLLKKENLARIGDALLLAISKGYVRIVEAILNHPGFAASKRLTLSPCEQELQDDDFYAYDEDGTRFSPDITPI ILAAHCQKYEVVHMLLMKGARIERPHDYFCKCGDCMEKQRHDSFSHSRSRINAYKGLASPAYLSLSSEDPVLTALELSNELA KLANIEKEFKNDYRKLSMQCKDFVVGVLDLCRDSEEVEAILNGDLESAEPLEVHRHKASLSRVKLAIKYEVKKFVAHPNCQQ QLLTIWYENLSGLREQTIAIKCLVVLVVALGLPFLAIGYWIAPCSRLGKILRSPFMKFVAHAASFIIFLGLLVFNASDRFEG ITTLPNITVTDYPKQIFRVKTTQFTWTEMLIMVWVLGMMWSECKELWLEGPREYILQLWNVLDFGMLSIFIAAFTARFLAFL QATKAQQYVDSYVQESDLSEVTLPPEIQYFTYARDKWLPSDPQIISEGLYAIAVVLSFSRIAYILPANESFGPLQISLGRTV KDIFKFMVLFIMVFFAFMIGMFILYSYLGAKVNAAFTTVEESFKTLFWSIFGLSEVTSVVLKYDHKFIENIGYVLYGIYNVT MVVVLLNMLIAMINSSYQEIEDDSDVEWKFARSKLWLSYFDDGKTLPPPFSLVPSPKSFVYFIMRIVNFPKCRRRRLQKDIE MGMGNSKSRLNLFTQSNSRVFESHSFNSILNQPTRYQQIMKRLIKRYVLKAQVDKENDEVNEGELKEIKQDISSLRYELLED KSQATEELAILIHKLSEKLNPSMLRCE GenBank NP_001353408.1 (TRPC3 C-terminal split; 893 amino acids) (SEQ ID NO: 3) MSTKVRKCKEQARVTFPAPEEEEDEGEDEGAEPQRRRRGWRGVNGGLEPRSAPSQREPHGYCPPPFSHGPDLSMEGSPSLRR MTVMREKGRRQAVRGPAFMFNDRGTSLTAEEERFLDAAEYGNIPVVRKMLEESKTLNVNCVDYMGQNALQLAVGNEHLEVTE LLLKKENLARIGDALLLAISKGYVRIVEAILNHPGFAASKRLTLSPCEQELQDDDFYAYDEDGTRFSPDITPIILAAHCQKY EVVHMLLMKGARIERPHDYFCKCGDCMEKQRHDSFSHSRSRINAYKGLASPAYLSLSSEDPVLTALELSNELAKLANIEKEF KNDYRKLSMQCKDFVVGVLDLCRDSEEVEAILNGDLESAEPLEVHRHKASLSRVKLAIKYEVKKFVAHPNCQQQLLTIWYEN LSGLREQTIAIKCLVVLVVALGLPFLAIGYWIAPCSRLGKILRSPFMKFVAHAASFIIFLGLLVFNASDRFEGITTLPNITV TDYPKQIFRVKTTQFTWTEMLIMVWVLGMMWSECKELWLEGPREYILQLWNVLDFGMLSIFIAAFTARFLAFLQATKAQQYV DSYVQESDLSEVTLPPEIQYFTYARDKWLPSDPQIISEGLYAIAVVLSFSRIAYILPANESFGPLQISLGRTVKDIFKFMVL FIMVFFAFMIGMFILYSYYLGAKVNAAFTTVEESFKTLFWSIFGLSEVTSVVLKYDHKFIENIGYVLYGIYNVTMVVVLLNM LIAMINSSYQEIEDDSDVEWKFARSKLWLSYFDDGKTLPPPFSLVPSPKSFVYFIMRIVNFPKCRRRRLQKDIEMGMGNSKS RQIMKRLIKRYVLKAQVDKENDEVNEGELKEIKQDISSLRYELLEDKSQATEELAILIHKLSEKLNPSMLRCE GenBank NM_001130698.1 (TRPC3 long form; 3548 nucleotide base pairs) (SEQ ID NO: 4) gggaagactg cactgccgcg aaggcggagg aggccggcag ccggcacccc cacactcgga ccgcagccgg cgcgatgtcc accaaggtca ggaagtgcaa agaacaagca agggtgacct tcccggcgcc ggaggaggag gaagacgagg gcgaggacga gggcgcggag ccgcagcgcc gccgccgggg ctggaggggc gtcaacgggg ggctggagcc gcgctcggcg ccctcgcagc gggagccgca cggctactgc ccgccgccct tctcccacgg gccggacctg tccatggagg gaagcccatc cctgagacgc atgacagtga tgcgggagaa gggccggcgc caggctgtca ggggcccggc cttcatgttc aatgaccgcg gcaccagcct caccgccgag gaggagcgct tcctcgacgc cgccgagtac ggcaacatcc cagtggtgcg caagatgctg gaggagtcca agacgctgaa cgtcaactgc gtggactaca tgggccagaa cgcgctgcag ctggctgtgg gcaacgagca cctggaggtg accgagctgc tgctcaagaa ggagaacctg gcgcgcattg gcgacgccct gctgctcgcc atcagcaagg gctacgtgcg catcgtagag gccatcctca accaccctgg cttcgcggcc agcaagcgtc tcactctgag cccctgtgag caggagctgc aggacgacga cttctacgct tacgacgagg acggcacgcg cttctcgccg gacatcaccc ccatcatcct ggcggcgcac tgccagaaat acgaagtggt gcacatgctg ctgatgaagg gtgccaggat cgagcggccg cacgactatt tctgcaagtg cggggactgc atggagaagc agaggcacga ctccttcagc cactcacgct cgaggatcaa tgcctacaag gggctggcca gcccggctta cctctcattg tccagcgagg acccggtgct tacggcccta gagctcagca acgagctggc caagctggcc aacatagaga aggagttcaa gaatgactat cggaagctct ccatgcaatg caaagacttt gtagtgggtg tgctggatct ctgccgagac tcagaagagg tagaagccat tctgaatgga gatctggaat cagcagagcc tctggaggta cacaggcaca aagcttcatt aagtcgtgtc aaacttgcca ttaagtatga agtcaaaaag tttgtggctc atcccaactg ccagcagcag  ctcttgacga tctggtatga gaacctctca ggcctaaggg agcagaccat agctatcaag tgtctcgttg tgctggtcgt   ggccctgggc cttccattcc tggccattgg ctactggatc gcaccttgca gcaggctggg gaaaattctg cgaagccctt   ttatgaagtt tgtagcacat gcagcttctt tcatcatctt cctgggtctg cttgtgttca atgcctcaga caggttcgaa ggcatcacca cgctgcccaa tatcacagtt actgactatc ccaaacagat cttcagggtg aaaaccaccc agtttacatg  gactgaaatg ctaattatgg tctgggttct tggaatgatg tggtctgaat gtaaagagct ctggctggaa ggacctaggg aatacatttt gcagttgtgg aatgtgcttg actttgggat gctgtccatc ttcattgctg ctttcacagc cagattccta gctttccttc aggcaacgaa ggcacaacag tatgtggaca gttacgtcca agagagtgac ctcagtgaag tgacactccc accagagata cagtatttca cttatgctag agataaatgg ctcccttctg accctcagat tatatctgaa ggcctttatg ccatagctgt tgtgctcagc ttctctcgga ttgcgtacat cctccctgca aatgagagct ttggccccct gcagatctct cttggaagga ctgtaaagga catattcaag ttcatggtcc tctttattat ggtgtttttt gcctttatga ttggcatgtt catactttat tcttactacc ttggggctaa agttaatgct gcttttacca ctgtagaaga aagtttcaag actttatttt ggtcaatatt tgggttgtct gaagtgactt ccgttgtgct caaatatgat cacaaattca tagaaaatat tggatacgtt  ctttatggaa tatacaatgt aactatggtg gtcgttttac tcaacatgct aattgctatg attaatagct catatcaaga aattgaggat gacagtgatg tagaatggaa gtttgctcgt tcaaaacttt ggttatccta ttttgatgat ggaaaaacat tacctccacc tttcagtcta gttcctagtc caaaatcatt tgtttatttc atcatgcgaa ttgttaactt tcccaaatgc agaaggagaa ggcttcagaa ggatatagaa atgggaatgg gtaactcaaa gtccaggtta aacctcttca ctcagtctaa ctcaagagtt tttgaatcac acagttttaa cagcattctc aatcagccaa cacgttatca gcagataatg aaaagactta taaagcggta tgttttgaaa gcacaagtag acaaagaaaa tgatgaagtt aatgaaggtg aattaaaaga aatcaagcaa gatatctcca gccttcgtta tgaacttttg gaagacaaga gccaagcaac tgaggaatta gccattctaa ttcataaact tagtgagaaa ctgaatccca gcatgctgag atgtgaatga tgcagcaacc tggatttggc tttgactata gcacaaatgt gggcaataat atttctaagt atgaaatact tgaaaaacta tgatgtaaat ttttagtatt aactaccttt atcatgtgaa cctttaaaag ttagctctta atggttttat tgttttatca catgaaaatg cattttattt gtctgctttg acattacagt ggcataccat tgtgttgaaa agcccaatat tactatatta ttgaaacttt tattcatttt agagtaaact ccacatcttt gcactacctg tttgcctcca agagactatc agttccttgg ggacagggac catgtcttat tcatctttgt gtctccagca  tctagtacag tgcctggtat atagtaggtg ctcaataaat gttgaaacca actgaactgc caacaaaata aaaataaaaa gtcttcacta tgtagcatac cttcccttgt ccaagttctg aagaggtttt tttttttttt ttttaataga aactgaagac attttacaac cagctatgac ttggtaagac attcttagaa ttttaggtgt cactgataat cctagaacca ctgagcccca agtgaagaat ttaacaacaa aatgggttaa tgaaaaatat aattacattg tatatttaag tttcatagaa ttatttaaaa caacacatta aagatttttc taaaatat GenBank NM_003305.2 (TRPC3 short form; 3330 nucleotide base pairs) (SEQ ID NO: 5) gggccctgac atgtgaaagg aaggaatgtg ccctaatatt ctacagttgt tttatcgttg ctactgatta ggtccatgga  gggaagccca tccctgagac gcatgacagt gatgcgggag aagggccggc gccaggctgt caggggcccg gccttcatgt  tcaatgaccg cggcaccagc ctcaccgccg aggaggagcg cttcctcgac gccgccgagt acggcaacat cccagtggtg  cgcaagatgc tggaggagtc caagacgctg aacgtcaact gcgtggacta catgggccag aacgcgctgc agctggctgt  gggcaacgag cacctggagg tgaccgagct gctgctcaag aaggagaacc tggcgcgcat tggcgacgcc ctgctgctcg  ccatcagcaa gggctacgtg cgcatcgtag aggccatcct caaccaccct ggcttcgcgg ccagcaagcg tctcactctg  agcccctgtg agcaggagct gcaggacgac gacttctacg cttacgacga ggacggcacg cgcttctcgc cggacatcac  ccccatcatc ctggcggcgc actgccagaa atacgaagtg gtgcacatgc tgctgatgaa gggtgccagg atcgagcggc  cgcacgacta tttctgcaag tgcggggact gcatggagaa gcagaggcac gactccttca gccactcacg ctcgaggatc  aatgcctaca aggggctggc cagcccggct tacctctcat tgtccagcga ggacccggtg cttacggccc tagagctcag  caacgagctg gccaagctgg ccaacataga gaaggagttc aagaatgact atcggaagct ctccatgcaa tgcaaagact  ttgtagtggg tgtgctggat ctctgccgag actcagaaga ggtagaagcc attctgaatg gagatctgga atcagcagag  cctctggagg tacacaggca caaagcttca ttaagtcgtg tcaaacttgc cattaagtat gaagtcaaaa agtttgtggc  tcatcccaac tgccagcagc agctcttgac gatctggtat gagaacctct caggcctaag ggagcagacc atagctatca  agtgtctcgt tgtgctggtc gtggccctgg gccttccatt cctggccatt ggctactgga tcgcaccttg cagcaggctg  gggaaaattc tgcgaagccc ttttatgaag tttgtagcac atgcagcttc tttcatcatc ttcctgggtc tgcttgtgtt  caatgcctca gacaggttcg aaggcatcac cacgctgccc aatatcacag ttactgacta tcccaaacag atcttcaggg tgaaaaccac ccagtttaca tggactgaaa tgctaattat ggtctgggtt cttggaatga tgtggtctga atgtaaagag ctctggctgg aaggacctag ggaatacatt ttgcagttgt ggaatgtgct tgactttggg atgctgtcca tcttcattgc tgctttcaca gccagattcc tagctttcct tcaggcaacg aaggcacaac agtatgtgga cagttacgtc caagagagtg  acctcagtga agtgacactc ccaccagaga tacagtattt cacttatgct agagataaat ggctcccttc tgaccctcag attatatctg aaggccttta tgccatagct gttgtgctca gcttctctcg gattgcgtac atcctccctg caaatgagag  ctttggcccc ctgcagatct ctcttggaag gactgtaaag gacatattca agttcatggt cctctttatt atggtgtttt ttgcctttat gattggcatg ttcatacttt attcttacta ccttggggct aaagttaatg ctgcttttac cactgtagaa gaaagtttca agactttatt ttggtcaata tttgggttgt ctgaagtgac ttccgttgtg ctcaaatatg atcacaaatt catagaaaat attggatacg ttctttatgg aatatacaat gtaactatgg tggtcgtttt actcaacatg ctaattgcta tgattaatag ctcatatcaa gaaattgagg atgacagtga tgtagaatgg aagtttgctc gttcaaaact ttggttatcc  tattttgatg atggaaaaac attacctcca cctttcagtc tagttcctag tccaaaatca tttgtttatt tcatcatgcg aattgttaac tttcccaaat gcagaaggag aaggcttcag aaggatatag aaatgggaat gggtaactca aagtccaggt taaacctctt cactcagtct aactcaagag tttttgaatc acacagtttt aacagcattc tcaatcagcc aacacgttat cagcagataa tgaaaagact tataaagcgg tatgttttga aagcacaagt agacaaagaa aatgatgaag ttaatgaagg tgaattaaaa gaaatcaagc aagatatctc cagccttcgt tatgaacttt tggaagacaa gagccaagca actgaggaat tagccattct aattcataaa cttagtgaga aactgaatcc cagcatgctg agatgtgaat gatgcagcaa cctggatttg  gctttgacta tagcacaaat gtgggcaata atatttctaa gtatgaaata cttgaaaaac tatgatgtaa atttttagta ttaactacct ttatcatgtg aacctttaaa agttagctct taatggtttt attgttttat cacatgaaaa tgcattttat ttgtctgctt tgacattaca gtggcatacc attgtgttga aaagcccaat attactatat tattgaaact tttattcatt ttagagtaaa ctccacatct ttgcactacc tgtttgcctc caagagacta tcagttcctt ggggacaggg accatgtctt attcatcttt gtgtctccag catctagtac agtgcctggt atatagtagg tgctcaataa atgttgaaac caactgaact gccaacaaaa taaaaataaa aagtcttcac tatgtagcat accttccctt gtccaagttc tgaagaggtt tttttttttt  ttttttaata gaaactgaag acattttaca accagctatg acttggtaag acattcttag aattttaggt gtcactgata atcctagaac cactgagccc caagtgaaga atttaacaac aaaatgggtt aatgaaaaat ataattacat tgtatattta agtttcatag aattatttaa aacaacacat taaagatttt tctaaaatat GenBank NM_001366479.1 (TRPC3 C-terminal split; 4708 nucleotide base pairs) (SEQ ID NO: 6) gagtaacgat gctgtcctag caagtgatgc tgtcggagac aggagacggg cgccgaggag gcatcgccgc cgccgcgggg ctggagagcc tctcccagca ccagagcccc gctcggcccc gggcttcctc gtcgcagcca cggccgcggc agctgctccc acggtttgat ggtgggcggc ggcagctcgg cttcggcgct agcctctaac tgctggatcg cgggccgcga cgctctccgc tcctgccttc ccgccctggg ccgcccgggg ccccggaagc cgcgggaggt ggtgaagggg cgccgcggga agactgcact gccgcgaagg cggaggaggc cggcagccgg cacccccaca ctcggaccgc agccggcgcg atgtccacca aggtcaggaa gtgcaaagaa caagcaaggg tgaccttccc ggcgccggag gaggaggaag acgagggcga ggacgagggc gcggagccgc agcgccgccg ccggggctgg aggggcgtca acggggggct ggagccgcgc tcggcgccct cgcagcggga gccgcacggc tactgcccgc cgcccttctc ccacgggccg gacctgtcca tggagggaag cccatccctg agacgcatga cagtgatgcg ggagaagggc cggcgccagg ctgtcagggg cccggccttc atgttcaatg accgcggcac cagcctcacc gccgaggagg agcgcttcct cgacgccgcc gagtacggca acatcccagt ggtgcgcaag atgctggagg agtccaagac gctgaacgtc aactgcgtgg actacatggg ccagaacgcg ctgcagctgg ctgtgggcaa cgagcacctg gaggtgaccg agctgctgct caagaaggag aacctggcgc gcattggcga cgccctgctg ctcgccatca gcaagggcta cgtgcgcatc gtagaggcca tcctcaacca ccctggcttc gcggccagca agcgtctcac tctgagcccc tgtgagcagg agctgcagga cgacgacttc tacgcttacg acgaggacgg cacgcgcttc tcgccggaca tcacccccat catcctggcg gcgcactgcc agaaatacga agtggtgcac atgctgctga tgaagggtgc caggatcgag cggccgcacg actatttctg caagtgcggg gactgcatgg agaagcagag gcacgactcc ttcagccact cacgctcgag gatcaatgcc tacaaggggc tggccagccc ggcttacctc tcattgtcca gcgaggaccc ggtgcttacg gccctagagc tcagcaacga gctggccaag ctggccaaca tagagaagga gttcaagaat gactatcgga agctctccat gcaatgcaaa gactttgtag tgggtgtgct ggatctctgc cgagactcag aagaggtaga agccattctg aatggagatc tggaatcagc agagcctctg gaggtacaca ggcacaaagc ttcattaagt cgtgtcaaac ttgccattaa gtatgaagtc aaaaagtttg tggctcatcc caactgccag cagcagctct tgacgatctg gtatgagaac ctctcaggcc taagggagca gaccatagct atcaagtgtc tcgttgtgct ggtcgtggcc ctgggccttc cattcctggc cattggctac tggatcgcac cttgcagcag gctggggaaa attctgcgaa gcccttttat gaagtttgta gcacatgcag cttctttcat catcttcctg ggtctgcttg tgttcaatgc ctcagacagg ttcgaaggca tcaccacgct  gcccaatatc acagttactg actatcccaa acagatcttc agggtgaaaa ccacccagtt tacatggact gaaatgctaa  ttatggtctg ggttcttgga atgatgtggt ctgaatgtaa agagctctgg ctggaaggac ctagggaata cattttgcag ttgtggaatg tgcttgactt tgggatgctg tccatcttca ttgctgcttt cacagccaga ttcctagctt tccttcaggc aacgaaggca caacagtatg tggacagtta cgtccaagag agtgacctca gtgaagtgac actcccacca gagatacagt atttcactta tgctagagat aaatggctcc cttctgaccc tcagattata tctgaaggcc tttatgccat agctgttgtg ctcagcttct ctcggattgc gtacatcctc cctgcaaatg agagctttgg ccccctgcag atctctcttg gaaggactgt aaaggacata ttcaagttca tggtcctctt tattatggtg ttttttgcct ttatgattgg catgttcata ctttattctt actaccttgg ggctaaagtt aatgctgctt ttaccactgt agaagaaagt ttcaagactt tattttggtc aatatttggg ttgtctgaag tgacttccgt tgtgctcaaa tatgatcaca aattcataga aaatattgga tacgttcttt atggaatata  caatgtaact atggtggtcg ttttactcaa catgctaatt gctatgatta atagctcata tcaagaaatt gaggatgaca gtgatgtaga atggaagttt gctcgttcaa aactttggtt atcctatttt gatgatggaa aaacattacc tccacctttc agtctagttc ctagtccaaa atcatttgtt tatttcatca tgcgaattgt taactttccc aaatgcagaa ggagaaggct  tcagaaggat atagaaatgg gaatgggtaa ctcaaagtcc aggcagataa tgaaaagact tataaagcgg tatgttttga aagcacaagt agacaaagaa aatgatgaag ttaatgaagg tgaattaaaa gaaatcaagc aagatatctc cagccttcgt tatgaacttt tggaagacaa gagccaagca actgaggaat tagccattct aattcataaa cttagtgaga aactgaatcc cagcatgctg agatgtgaat gatgcagcaa cctggatttg gctttgacta tagcacaaat gtgggcaata atatttctaa gtatgaaata cttgaaaaac tatgatgtaa atttttagta ttaactacct ttatcatgtg aacctttaaa agttagctct taatggtttt attgttttat cacatgaaaa tgcattttat ttgtctgctt tgacattaca gtggcatacc attgtgttga aaagcccaat attactatat tattgaaact tttattcatt ttagagtaaa ctccacatct ttgcactacc tgtttgcctc caagagacta tcagttcctt ggggacaggg accatgtctt attcatcttt gtgtctccag catctagtac agtgcctggt atatagtagg tgctcaataa atgttgaaac caactgaact gccaacaaaa taaaaataaa aagtcttcac tatgtagcat accttccctt gtccaagttc tgaagaggtt tttttttttt ttttttaata gaaactgaag acattttaca accagctatg  acttggtaag acattcttag aattttaggt gtcactgata atcctagaac cactgagccc caagtgaaga atttaacaac aaaatgggtt aatgaaaaat ataattacat tgtatattta agtttcatag aattatttaa aacaacacat taaagatttt tctaaaatat agactgcttg ctttctgtct tagacttacg tttgttgttt ttcagtaatg tgattttctt ttaagttggg  ggttatgcag ggttgtcatt ttgttataac catctaattt ctgcctctgc tgctttaatg ctaaatgaga tatcaacagc tgacttcata tctcacctgt gagctccctg ctgagttttg gagggtctgc tcatgggaag aaataggaaa gagcagtgac tatgggcgta cttggaaaga catggccaag catccccagg tgtgtttcag ttccttttgg ggcatttatt gccatcgttg cttacaatga ttgacatctt tgtttcttat caaaggattc cagttccact ttctatataa aatatattgt gatatatcta catatgcctt attacataat tgtgctgaat gctggtaata tccgcaatgc ctcttgactt taatgggaaa aggcatgcag accagtaagt tccccagtca cttcagagac tataaaacac tcaaagcatt ttttaaccag ctaggtttaa atctctcata gagttatgtt taacatcctg agtctgcagt cagttgctgt caagtcgtat aggaatacga attgtgatca tagatcaaag  attttcagag gtccttaaaa ccaactaaat acatgctact ttaaaatcat tgctatcatg cagaaaagct ctttagacat gaagacagaa ataagtgtta aatggaacta cataaagctc tttaaagatt atttcttaat ttctactttt tgggagttaa attaagaaag gaactttata aatgttttgc taccattgta gaacacttca ttaacttttg tgccatgcta agagtattcg tcttaaacat ttttcaaact ttatgtactt tatgttgtgt ctcagaactg aataaaatat tgaatttt

Pathway Genes

In some aspects, the present disclosure provides methods comprising contacting a neuronal cell with an agent that modifies expression of or modifies activity of a product encoded by a pathway gene upstream from TRPC3.

In some aspects, the present disclosure provides methods comprising contacting a neuronal cell with an agent that modifies expression of or modifies activity of a product encoded by a pathway gene downstream from TRPC3.

A pathway gene is an upstream gene or a downstream gene of a biological pathway in which a gene of interest functions. A pathway gene is considered upstream from a gene of interest when the pathway gene has an effect (direct or indirect) on the gene of interest (e.g., TRPC3). A pathway gene is considered downstream from a gene of interest when the gene of interest has an effect (direct or indirect) on the pathway gene (e.g., TRPC3).

TRPC3 protein is involved of a number of different pathways, including neuronal excitability, cholesterol metabolism, and amyloid production and/or clearance. In some embodiments, the gene encodes a protein in a neuronal excitability pathway. In some examples, the gene encodes a protein in a cholesterol metabolism pathway. In some embodiments, the gene encodes a protein in an amyloid production and/or clearance pathway. Non-limiting examples of genes encoding proteins in these pathways include NAPA, SPTBN5, SPTBN2, VAMP2, SPTBN1, ACTN1, ACTN2, ACTN4, TRPC1, TRPC4, TRPC5, TRPC6, TRPC7, BMPR1B, BMPR2, MX1, FKBP1A, GNA11, PLCG1, PRKCA, PRKG1, ITPR1, ITPR3, CALM1, and SLC8A1. Thus, in some embodiments, an agent of the present disclosure modifies (e.g., increases or decreases) expression of or modifies (e.g., increases or decreases) activity of a product encoded by one or more genes selected from NAPA, SPTBN5, SPTBN2, VAMP2, SPTBN1, ACTN1, ACTN2, ACTN4, TRPC1, TRPC4, TRPC5, TRPC6, TRPC7, BMPR1B, BMPR2, MX1, FKBP1A, GNA11, PLCG1, PRKCA, PRKG1, ITPR1, ITPR3, CALM1, and SLC8A1.

EXAMPLES

The present disclosure is further illustrated by the following Examples. These Examples are provided to aid in the understanding of the disclosure, and should not be construed as a limitation thereof.

Genetic Background Modifies Expressivity of FAD Mutations

In order to evaluate the influence of genetic background on the impact of causal FAD mutations on behavioral and molecular phenotypes, we generated a panel of 28 genetically diverse F1 mouse strains with and without FAD mutations. Female B6 mice heterozygous for the autosomal dominant 5XFAD transgene (Oakley et al., 2006) were crossed to males from the BXD genetic reference panel (Peirce et al., 2004) to generate F1 progeny carrying the 5XFAD transgene (AD-BXDs) or non-transgenic littermates (Ntg-BXDs; FIG. 1A). Working memory and body weight were monitored bi-monthly and more in-depth phenotyping that included tests of motor function and anxiety was performed at both 6 and 14 months of age (FIG. 1B). A subset of mice was subsequently tested for long-term spatial learning and memory function using a contextual fear conditioning (CFC) paradigm (Fanselow, 2000; Neuner et al., 2016). This subset was immediately harvested following CFC testing and tissue was collected for biobanking and later use, including RNA-sequencing and enzyme-linked immunosorbent assays (ELISAs) as described below. This time point (immediately following testing) was chosen in order to capture molecular changes corresponding to differences in learning-related intrinsic neuronal excitability reported previously (Kaczorowski and Disterhoft, 2009; Kaczorowski et al., 2011).

As expected (Kaczorowski et al., 2011; Oakley et al., 2006; Ohno, 2009), the 5XFAD transgene accelerated the age at onset (AAO) of working memory deficits in AD-BXD mice relative to Ntg-BXD mice (FIG. 1C) and exacerbated contextual fear acquisition (CFA) and contextual fear memory (CFM) deficits, particularly by 14 months of age (FIG. 1D-E). However, the impact of causal FAD mutations on cognitive performance varied widely depending on the specific background strain evaluated. Notably, this variation in cognitive function parallels the variation observed in human patients harboring FAD mutations (Ryman et al., 2014) and was not correlated with strain-specific variation in activity, pain sensitivity, sensorimotor abilities, or anxiety (data not shown). These results suggest the observed variation in cognitive function is regulated, in part, by genetic variants that segregate across the AD-BXD panel. In support, heritability (

) estimates comparing between-strain variance (due to genetic diversity) to total sample variance (due to both genetic and environmental factors), given the average number of biological replicates per strain (Belknap, 1998), demonstrate there is a significant genetic component underlying observed variation (Table 1).

TABLE 1 Heritability estimates for phenotypic traits in AD- and Ntg-BXDs. Heritability (h² _(RI ) _(x) ) was determined by calculating the ratio of between-strain variance (i.e. genetic variance) to total sample variance (within-strain variance due to technical/environmental factors plus between- strain variance), given the average number of biological replicates per strain according to established methods (Belknap, 1998). Between strain Av. within strain Av. Heritability Trait variance variance n/strain (h² _(RI ) _(x) ) Non-transgenic (Ntg)-BXDs Age at onset   7.7   15.7  7.5 0.8  6 m CFA  181.2  433.1  5.1 0.7  6 m CFM  196.6  340.5  5.1 0.7 14 m CFA  146.6  520.7  7.2 0.7 14 m CFM  168.0  321.9  7.2 0.8  6 m   0.3   2.1  8.7 0.6 Sensorimotor composite 14 m   1.7   6.8  7.4 0.6 Sensorimotor composite  6 m EPM % Time in Open   7.2   62.7  8.7 0.5 Arms 14 m EPM % Time in Open   29.2  149.6  7.4 0.6 Arms AD-BXDs Age at onset   5.7   15.7  8.8 0.8  6 m CFA  142.9  293.7  5.6 0.7  6 m CFM  163.3  376.8  5.6 0.7 14 m CFA  172.0  360.4  9.0 0.8 14 m CFM  141.5  299.8  9.0 0.8  6 m   1.2   3.8 10.8 0.7 Sensorimotor composite 14 m   2.4   9.3  9.2 0.7 Sensorimotor composite  6 m EPM % Time in Open   38.8  322.7 10.7 0.6 Arms 14 m EPM % Time in Open  266.6  625.6  8.8 0.8 Arms  6 m Amyloid (ELISA)  2570.6  2050.5  3.3 0.8 14 m Amyloid (ELISA) 36141.9 64897.9  3.9 0.7

Human FAD mutations in APP and PSEN1 included in the 5XFAD transgene increase production of the toxic 42 amino-acid length amyloid beta species (Aβ1-42), thought to be an initiating factor in a cascade of symptoms eventually leading to neuron loss and dementia (Hardy and Higgins, 1992). To assess the impact of genetic background on the levels of Aβ1-42 across the panel, brain extracts from 23 AD-BXD strains were assayed in duplicate on human Aβ1-42-specific sandwich ELISAs (Oakley et al., 2006). Variation in human Aβ1-42 levels was heritable (Table 1), and overall levels increased with age [effect of age F(1,153)=128.0, p<0.001] (FIG. 1F-G). A significant main effect of strain was observed [F(22,153)=2.0, p=0.01], indicating that genetic background significantly modified human Aβ1-42 levels across the panel. In order to test whether elevated amyloid levels corresponded to an increase in plaque density, we performed immunohistochemistry (IHC) analysis on a subset of fixed hemibrains and observed robust plaque deposition in both the hippocampus and cortex of AD-BXD strains, each of which significantly correlated with amyloid levels as measured by ELISA (data not shown). As expected, human Aβ1-42 was not reliably detected in 8 Ntg-BXD brains by ELISA, or in 3 Ntg-BXD brains by IHC (data not shown), suggesting that at least by 6 months of age, Ntg-BXDs do not develop deposition of human Aβ42 compared to their 5XFAD isogenic counterparts. Similar to what is observed in human populations, no significant correlation was observed between amyloid levels and cognitive function (data not shown), suggesting partially independent mechanisms work to regulate the extent of cognitive decline and amyloid accumulation.

Differences in cognitive function and Aβ1-42 pathology were not explained by an effect of age, sex, or background strain on the transcription of the 5XFAD transgene itself, as measured by alignment of RNA-sequencing reads from the hippocampus to the mutated human APP (FIG. 1H) or PSEN1 (data not shown) sequences that make up the 5XFAD transgene (Oakley et al., 2006). The lack of a sex difference on either transgene expression or amyloid levels is in contrast to a previous report using a single genetic background demonstrating the 5XFAD transgene is differentially expressed based on sex (Sadleir et al., 2015), suggesting that sex-specific effects may vary across genetic backgrounds. In addition, across the AD-BXD panel, there was no effect of genetic background, age, or sex on expression of endogenous App (FIG. 1I) or Psen1 (data not shown). Overall, these results suggest that naturally occurring variants segregating across the AD-BXD panel, rather than artificial differences due to transgene expression, play a significant role in determining susceptibility and/or resilience to changes in cognitive function and amyloid deposition caused by high-risk FAD mutations.

Cognitive Function in the AD-BXDs is Sensitive to Known AD Risk Variants

To test the hypothesis that the inclusion of genetic diversity would better model human AD, we first evaluated whether the AD-BXD panel is sensitive to variation in genes known to confer risk for LOAD. Because the apolipoprotein E gene (APOE) is the best characterized risk gene for LOAD in human patients and is relatively well conserved in the mouse (Liao et al., 2015), we queried variants in mouse Apoe. One single nucleotide polymorphism (SNP) in Apoe segregates across the BXD panel (FIG. 2A), occurring near the receptor-binding region (Mahley et al., 2009). Based on sequence alignment, this SNP causes a switch from glutamate to aspartate at mouse position 163 that renders the D allele of Apoe to more closely match the sequence of ε4 human risk allele than the B allele (Zerbino et al., 2018). While the exact functional consequences of this SNP are unknown, and likely depend on the context of surrounding amino acids, we predicted the D allele of Apoe would represent a susceptibility allele across the AD-BXDs based on sequence homology.

To test this hypothesis, we first identified genotyping markers flanking Apoe across the AD-BXDs and then determined the allelic composition of Apoe in each strain. A significant effect of Apoe allele was observed on CFA [F(1,354)=4.7, p=0.03], indicating that strains carrying one copy of the D allele of Apoe performed worse on this task (FIG. 2B). We also observed a significant effect of age [F(1,354)=12.3, p=0.001] and sex [F(1, 354)=17.9, p<0.001] on CFA, as well as a trend toward an interaction between sex and Apoe genotype [F(1, 354)=3.2, p=0.08]. Together, these results indicate that while most mice exhibited age-related decline in acquisition, female mice generally performed worse on the task and were also particularly susceptible to the effects of the D allele of Apoe. The Apoe effect was even more pronounced when we considered CFM; a significant main effect of Apoe allele was again detected [F(1,355)=20.9, p<0.001], along with significant effects of sex [F(1,355)=4.9, p=0.03], age [F(1,355)=86.2, p<0.001], and a sex by age interaction [F(1,355)=7.6, p=0.006] (FIG. 2C). These results indicate first that mice harboring a single copy of the D allele of Apoe exhibited poorer CFM, and second that female mice are more susceptible to AD-related cognitive decline with age. No effect of Apoe genotype was observed on working memory traits. Across Ntg-BXDs, Apoe genotype exhibited either a less robust effect, or no effect, on cognitive performance on CFA and CFM tasks, respectively (data not shown).

Overall, the above data demonstrates that variation at the Apoe locus in mice, particularly those harboring the 5XFAD transgene, is associated with cognitive outcomes. In humans, additional genes have been identified that play small, although significant, roles in regulating susceptibility to AD (Lambert et al., 2013). Recent studies suggest that information about genetic variation at these additional loci, in the form of a genetic risk score (GRS), can better predict an individual's risk of developing AD (Chouraki et al., 2016). In order to evaluate whether naturally occurring variants in genes associated with LOAD risk in humans are associated with cognitive outcomes in the AD-BXD panel, we computed a GRS for each of our strains similar to the method described by Chouraki and colleagues in 2016 (Chouraki et al., 2016). First, we stratified strains into impaired and unimpaired groups based on 6 month-old CFM (FIG. 3A). We then identified the genotype of each strain at 21 LOAD risk genes (across 19 genetic markers, Table 2) and classified the risk allele of each gene as that allele which appeared more frequently in the impaired group. Odds ratios were calculated and transformed based on risk allele dosage to obtain a final GRS for each strain, which was normally distributed across the panel (Shapiro-Wilk test for normality p=0.7, FIG. 3B).

TABLE 2 Genes known to confer risk of Alzheimer's disease in humans vary across the AD-BXD panel and confer various degrees of risk in our mouse population; this information was used to create a genetic risk score for each strain. SNP Den- sity High- 6 m CFM AD Mouse (SNP/ impact Risk Odds 95% Z Gene Chr. Kb) changes allele ratio CI stat Pval Inpp5d 1 1.24 NMD B 1.30 0.28- 0.36 0.72 SNP + 6.3 indel Cr1l 1 0.06 — D 2.00 0.41- 0.85 0.39 9.8 Celf1 2 0.70 — D 1.50 0.30- 0.50 0.62 7.4 Cass4 2 0.08 — D 1.50 0.30- 0.50 0.62 7.4 Zcwpw1 5 0.11 — D 1.63 0.34- 0.61 0.54 8.0 Epha1 6 0.00 — D 1.60 0.33- 0.58 0.56 (indel) 7.8 Cd33 7 3.17 MS, D 1.67 0.30- 0.59 0.56 Stop 9.2 gained Picalm 7 1.75 — D 3.60 0.71- 1.55 0.12 18.3 Sorl1 9 12.49 MS, D 2.50 0.50- 1.11 0.27 SRV, 12.6 SAV Abca7 10 0.05 — D 1.17 0.24- 0.19 0.85 5.6 Slc24a4 12 4.07 SRV D 3.60 0.71- 1.55 0.12 18.3 Rin3 12 4.95 MS Located within same region as Slc24a4 Mef2c 13 0.15 — B 0.86 0.18- 0.19 0.85 4.1 Nme8 13 3.68 SRV D 1.40 0.30- 0.42 0.67 6.6 Clu 14 0.00 NMD D 5.50 0.84- 1.77 0.08 (indel) 36.2 Ptk2b 14 1.85 MS, Located within same SRV region as Clu Fermt2 14 2.40 — D 1.83 0.32- 0.68 0.50 10.6 Cd2ap 17 4.85 MS, — 1.00 0.21- 0.00 1.00 SRV 4.7 H2-Eb1 17 21.41 MS, D 1.05 0.22- 0.06 0.95 SRV, 5.0 stop gained Trem2 17 0.13 — B 1.20 0.25- 0.23 0.82 5.8 Bin1 18 0.21 MS D 1.33 0.28- 0.36 0.72 6.3

Once each GRS was calculated, we then asked how well a strain's score predicted cognitive outcomes as measured on an uncorrelated task in a separate cohort of AD-BXD mice (i.e. 14 m CFA). Although no individual risk gene significantly differentiated impaired vs unimpaired strains at 6 m, when taken together, the GRS was significantly associated with cognitive outcomes in AD-BXD mice (FIG. 3C). Notably, the GRS was not associated with cognition in Ntg-BXDs, suggesting genes used to create the GRS exhibit more specificity toward mediating AD-related decline (FIG. 3D). We repeated this entire process with 1,000 sets of 19 randomly selected genetic markers and determined the correlation of the GRS and 14 m AD-BXD CFA was among the top 5% of all observed permutations, suggesting the additive association of LOAD risk genes with 5XFAD-related cognitive decline is much greater than a set of genes randomly distributed across the genome. In addition, a GRS derived from genotypes at the same risk alleles, but using the distribution of ‘impaired’ and ‘unimpaired’ Ntg-BXD strains, rather than AD-BXD strains, to define odds ratios for each individual LOAD risk gene showed no relationship with late-disease cognitive outcomes in either 14 m Ntg-BXDs or AD-BXDs (data not shown), further demonstrating these genes uniquely interact with the 5XFAD transgene. Finally, the original GRS (FIG. 3B) showed no association to non-cognitive traits such as amyloid levels, weight, sensorimotor abilities, or anxiety (FIG. 3E-H). Overall, these results demonstrate 1) the AD-BXD panel is sensitive to variation in known LOAD risk variants, and 2) the CFA task is particularly sensitive to this variation, and has the potential to be used as a translationally relevant cognitive assay in preclinical AD studies.

AD-BXD Transcriptome Shows Concordance with Late-Onset AD Signature

We next decided to investigate whether or not the AD-BXD panel shared similarities with human AD at the transcriptional level. We first performed RNA-sequencing on hippocampal tissue from a subset of AD-BXDs and Ntg-BXDs and evaluated the expression of genes known to be misregulated in AD. As expected from studies of post-mortem human tissue, the 5XFAD transgene significantly altered the expression of a number of these genes, particularly Bin1, Clu, Cd33 (Karch et al., 2012), Trem2 (Piccio et al., 2016), and C1qa (Hong et al., 2016) (FIG. 4A). Similar to what we observed for behavioral and pathological phenotypes, risk gene expression varied across the AD-BXD panel. This suggests genetic background may influence AD susceptibility by altering underlying transcriptional networks, so to gain a mechanistic understanding of functional categories altered in AD-BXDs relative to Ntg-BXDs, we performed differential expression analysis using DESeq2 (Love et al., 2014) followed by gene set enrichment analysis (GSEA) (Subramanian et al., 2005) (data not shown). As expected, the gene ontology (GO) functional categories most significantly enriched among genes observed to be downregulated in AD largely related to neuronal activity, structure, and function (FIG. 4B, left) while the GO functional categories most significantly enriched among genes observed to be upregulated in AD related largely to immune response (FIG. 4B, right). Together, these data highlight the maintenance of neuron activity, particularly the activity of select ion channels and receptors, as pathways that may be augmented to promote resilience, while immune pathways as those that may need to be suppressed to promote resilience.

To further evaluate whether observed changes in our AD-BXD model paralleled those observed in human patients, we next performed a series of cross-species comparative analyses using aged brain tissue (14 m AD-BXD mice) to best parallel the tissue available from human patients. First, we evaluated the expression of a set of 60 core genes previously defined as a human AD consensus signature, primarily enriched for downregulated mitochondrial and neuronal genes [data not shown, (Hargis and Blalock, 2017)]. We observed higher concordance between our mouse panel and this human AD signature (FIG. 5A) than that reported for other AD models on a single genetic background (Hargis and Blalock, 2017). This effect replicated in 3 independent human datasets tested (data not shown). Second, we noted that the significant upregulation of immune-related pathways in our AD-BXD mice (FIG. 4B) paralleled the significant association of immune-related genes with human AD, both at the transcriptional and genetic level (International Genomics of Alzheimer's Disease, 2015; Zhang et al., 2013). To test whether the identity of genes driving this association were similar across mice and humans, we used GeneWeaver (Baker et al., 2016) to calculate overlap of genes upregulated in aged 14 m AD-BXD mice (data not shown) and two gene lists associated with human AD. First, we utilized a list of genes belonging to the transcriptional co-expression module most highly associated with human AD identified by Zhang and colleagues (Zhang et al., 2013), and second, a list of 151 highly connected AD-related genes identified by Jones et. al. (International Genomics of Alzheimer's Disease, 2015). Each of these lists were significantly enriched for genes with immune-related annotations. In both cases, the overlap between mouse and human signatures was significant (FIG. 5B).

Finally, we tested whether the AD-specific enrichment of immune-related pathways observed in human AD, but not normal aging (Raj et al., 2017), was preserved across our AD and Ntg-BXDs. To do this, we identified GO terms enriched among those genes significantly differentially expressed between 14 m AD and Ntg-BXDs (data not shown, 5XFAD-related genes) and those enriched among genes significantly differentially expressed between 6 m and 14 m Ntg-BXDs (data not shown, normal aging-related genes). To enable comparison across datasets, we identified those GO terms with enough genes to be identified in each set and compared enrichment strength across AD and normal aging in our mouse panel (FIG. 5C and data not shown). Enrichment of immune-related terms was exclusively observed among our list of 5XFAD-related genes, and not normal aging-related genes. A similar trend was observed in neuron and ion-channel related terms, suggesting downregulation of neuron structure, function, and/or activity to also be a unique feature of AD relative to normal aging in the mouse. Changes unique to normal aging include DNA metabolism, RNA processing, and peptidase activity (FIG. 5C, bottom right). Overall, the incorporation of genetic diversity into a mouse model of AD resulted in a transcriptomic profile that more closely matched human AD than previous AD models with limited genetic background variation (Hargis and Blalock, 2017).

Targeted Knockdown of Positional Candidate Trpc3 Reduces Aβ42 Load and AD-Related Cognitive Symptoms

In order to contribute new understanding of mechanisms underlying resilience to disease, we pursued functional validation of Trpc3, an ion channel that had not previously been associated with AD, but for which we had strong biological evidence supporting a potential role in disease. It was our hypothesis that targeting a gene that is a cognitive enhancer and putative mediator of Aβ42 levels would likely provide a double benefit to AD carriers by better allowing neurons to participate in networks critical for learning.

Trpc3 is a member of the transient receptor potential channel family and is permeable to cations including calcium (Dietrich et al., 2005). Misregulation of calcium signaling has previously been implicated in the pathogenesis of AD (LaFerla, 2002), and Trpc3 itself has recently been implicated in neuronal excitability and cognitive function in adult mice (Neuner et al., 2015). In addition, Trpc3 function has been shown to be sensitive to cellular cholesterol (Graziani et al., 2006), a pathway closely linked to AD by GWAS hits such as APOE, CLU, and ABCA7 (Karch and Goate, 2015). Across the AD-BXDs, Trpc3 contains both a sequence variant and an insertion in a predicted splice region, further strengthening a possible role for Trpc3 in in cognitive deficits and amyloid processing. Notably, the insertion occurs in exon 10 of Trpc3 (NM_019510), and a calmodulin/IP3R binding site within exons 9 and 10 has previously been shown to modulate TRPC3 activation (Zhang et al., 2001). Given that antibodies directed against beta-amyloid have not resulted in disease-modifying treatments, and beta-amyloid does not correlate strongly with cognition in either humans or our ADBXD panel (data not shown), we hypothesized that targeting a putative modulator of amyloid pathology that also has cognitive function-enhancing capabilities (i.e. Trpc3) may provide an added benefit to susceptible strains by reducing pathology and increasing neuronal excitability.

Since TRPC3 protein is increased in hippocampus from 5XFAD mice compared to Ntg controls [FIG. 6A, n=4/grp, t(1,6)=3.7, p=0.01], we injected our previously validated AAV9 viral vector containing either shRNA targeting Trpc3 (shRNA-Trpc3) or a scrambled shRNA control (shRNA-Ctrl) (Neuner et al., 2015) directly in the dorsal hippocampus of presymptomatic male 4 month-old 5XFAD-B6SJL mice (Oakley et al., 2006). This strain was chosen as it a susceptible strain with robust amyloid deposition when compared to mice from our AD-BXD panel (data not shown). The mice were aged to 9 months, a time point at which a majority of the population exhibits both amyloid accumulation and memory deficits (Kaczorowski et al., 2011; Oakley et al., 2006), and then working memory and CFM was assessed (FIG. 6B).

As expected, 5XFAD mice injected with shRNA-Ctrl performed significantly worse than Ntg littermates injected with shRNA-Ctrl on both working memory [FIG. 6C—effect of group, F(2, 28)=10.6, p<0.001; post-hoc 5XFAD shRNA-Ctrl vs Ntg shRNA-Ctrl: t(1,18)=4.4, p<0.001] and CFM tests [FIG. 6D—effect of group, F(2,26)=3.4, p=0.05; post-hoc 5XFAD shRNA-Ctrl vs Ntg shRNA-Ctrl: t(1,17)=2.3, p=0.03]. Consistent with our hypothesis, 5XFAD mice that had received shRNA-Trpc3 performed better than 5XFAD mice receiving control injections [post-hoc 5XFAD shRNA-Trpc3 vs 5XFAD shRNA-Ctrl, p<0.05 on both tasks] and were statistically indistinguishable from controls on the CFM task (post-hoc 5XFAD shRNA-Trpc3 vs Ntg shRNA-Ctrl p>0.05). Importantly, no significant effects of group on total distance traveled or arms entered in the y-maze, or baseline freezing during CFC training, were observed indicating no difference between groups on measures of total activity or anxiety (FIG. 7). Similar effects were observed in non-transgenic mice, demonstrating a general effect of Trpc3 knockdown on cognitive aging (FIG. 8).

Finally, we investigated the effects of Trpc3 knockdown on accumulation of Aβ42. Mice were harvested at 10 months and one hemisphere of each brain region was fixed in 4% PFA. Immunohistochemistry for Aβ42 was performed and number of plaques counted using Image J's particle analysis software (Hurtado et al., 2010). 5XFAD shRNA-Ctrl mice exhibited a robust increase in the total number of plaques observed in the cortex and hippocampus (FIG. 6E). In contrast, 5XFAD mice treated with shRNA-Trpc3 showed a decrease in the number of plaques [effect of group: F(2,11)=5.5, p=0.03; post-hoc one-tailed t-test 5XFAD shRNA-Ctrl vs 5XFAD shRNA-Trpc3: t(1,7)=2.0, p=0.04] and were not significantly different than Ntg mice [post-hoc t-test 5XAFD shRNA-Trpc3 vs Ntg shRNA-Ctrl: t(1,6)=1.8, p=0.12]. These results demonstrate that in addition to a general role in cognitive aging, Trpc3 plays a disease-specific role in the regulation of amyloid levels in AD.

To assess the translational relevance of this finding, we next evaluated the relationship between TRPC3 and human AD. Using ROS/MAP data, a significant association was identified between TRPC3 expression in the prefrontal cortex of neuritic plaque positive AD cases and a brain-wide measure of amyloid burden (see Methods), even after adjusting for age at death and sex (p=0.0005, FIG. 6G). As in our mouse panel, higher levels of TRPC3 were associated with an increased amyloid burden. In contrast, no association was observed between TRPC3 expression and neurofibrillary tangles, cerebral amyloid angiopathy, or Lewy bodies (p>0.05). In addition, publically available data was mined for evidence of TRPC3 association with human AD. Of three SNPs annotated to TRPC3 in the International Genomics of Alzheimer's Project (IGAP) dataset (Lambert et al., 2013), one SNP displayed a nominal association with AD (rs114991240, uncorrected p=0.03). Finally, TRPC3 appears in the same module as known AD risk genes APOE, CLU, and DSG2 in a gene regulatory network constructed from post-mortem brain tissue from LOAD patients and cognitively normal controls (Zhang et al., 2013), suggesting its role in a larger regulatory network may influence risk of AD. Together, these results suggest that while variants in TRPC3 itself may not play a highly significant role in regulating risk of AD in human populations, mechanisms and pathways in which TRPC3 is involved (e.g. neuronal excitability, cholesterol metabolism, amyloid production and clearance) are important for modulating risk of AD. Overall, results here implicate Trpc3 for the first time in regulation of AD pathogenesis and demonstrate the ability to transition from candidate gene identified by QTL mapping to functional validation in an in vivo mouse model and translational evaluation using human datasets.

The discovery that decreasing expression of Trpc3 in either normal aging or an aggressive mouse model of AD is sufficient to delay the onset of both cognitive and disease-specific pathological symptoms greatly contributes to our understanding of AD genetics, how they relate to mechanisms underlying normal aging, and provides an additional target on which to focus future studies.

Experimental Model and Subject Details

Female congenic C57BL/6J mice hemizygous for the dominant 5XFAD transgene (Oakley et al., 2006), which consists of 5 human mutations known to cause familial AD [three in amyloid precursor protein (APP; Swedish: K670N, M671L, Florida: I716V, and London: V717I) and two in presenilin 1 (PSEN1; M146L and L286V)], were obtained from The Jackson Laboratory (JAX MMRRC Stock No: 34848-JAX). These mice were bred with 28 males from a set of genetically diverse recombinant inbred strains from the well-established BXD genetic reference panel (Peirce et al., 2004). By selecting the same maternal background strain (i.e. 5XFAD-057BL/6J) across the panel for cross with male BXD strains, we were able to introduce variants in the nuclear DNA, hold the mitochondrial genome constant, and control for strain-specific differences in maternal behavior on offspring behavior. The F1 progeny resulting from this B6-5XFAD by BXD cross are isogenic recombinant inbred backcross mice, each harboring one maternally derived B allele and either a B or D paternally derived allele at any given genomic locus. As expected from a Mendelian pattern of inheritance, ˜50% of these F1 mice carry the 5XFAD transgene (termed AD-BXDs) and ˜50% are non-transgenic (Ntg) littermate controls referred to Ntg-BXDs. Male and female offspring were group housed (2-5 per cage) and maintained on a 12 hr light/dark cycle with ad libitum access to food and water. All mice were genotyped for the 5XFAD transgene through a combination of in-house genotyping according to The Jackson Laboratory protocols for strain #34848-JAX and outside services (Transnetyx, TN, USA, and The Jackson Laboratory Transgenic Genotyping Services). Working memory and body weights were monitored longitudinally, and more detailed phenotyping occurred at 6 and 14 m. These time points were selected to obtain an adult phenotype (6 m) and a middle-aged to aged time point (14 m) that captured variation in disease symptoms before the mice exhibited severe health-related problems that confounded behavioral testing. All mouse experiments were carried out in accordance with the standards of the Association for the Assessment and Accreditation of Laboratory Animal Care (AAALAC), as well as the recommendations of the National Institutes of Health Guide for the Care and Use of Laboratory Animals.

Method Details

Y-Maze

For all behavioral testing, mice were habituated to transport and to the testing room for three days prior to testing. The y-maze test of spontaneous alternation was performed as described previously (Oakley et al., 2006). The y-maze used for testing was made of clear acrylic with arms that were 2″ wide×12″ long×2″ high. The maze was placed on a table in a dimly lit room and spatial cues were displayed on walls around the table. Mice were placed in a randomized start arm and video tracking software was used to monitor arm entries (ANY-maze, Stoelting Co., IL, USA). An arm entry was called when the mouse's entire body, including the two back feet, entered the arm. The sequence and total number of arms entered was recorded, and the percentage of successful alternations was calculated as follows: number of alternations/maximum possible alternations (total number of arms entered−2)×100. For each animal that was measured longitudinally (i.e. not harvested at the early 6 m time point), the age at which each animal became ‘impaired’, or performed below chance levels (50%), was recorded and used as the animals “age at onset” [AD-BXDs: n=226 (126 females/100 males) across 28 strains vs Ntg-BXDs, n=171 mice (108 females/63 males) across 25 strains]. Strain averages for age at onset were then calculated.

Sensorimotor Battery

At 6 m [AD-BXDs n=284 (185 females/90 males) across 28 strains, Ntg-BXDs n=220 (158 females/62 males) across 27 strains] and 14 m [AD-BXDs n=222 (104 females/106 males) across 26 strains, Ntg-BXDs n=172 (109 females/63 males) across 25 strains], mice were subjected to a sensorimotor battery consisting of three tasks. First, mice were placed in the center of a 3-foot long narrow (0.5″) beam elevated 20.75″ off a table surface and the time taken for the mouse to cross the narrow beam onto a safe platform on either side was measured. Second, mice were placed face-down on a wire mesh grid (holes were 1 cm×1 cm) that was placed at a 45° angle. The time taken for a mouse to right itself (negative geotaxis) was recorded. A 3 minute maximum time limit was imposed for both the narrow beam and incline screen tests. If a mouse fell from the narrow beam, the maximum score of 180s was given. Third, grip strength was measured using a standard grip strength meter (Colbourn Instruments). Each of these three tasks were repeated in triplicate and the average score across three trials was used. For each mouse, a z-score based on the 6 m population average was calculated for each task and the three z-scores were summed to derive a sensorimotor composite score, which was used here to relate sensorimotor performance to cognitive abilities.

Elevated Plus Maze

At 6 m [AD-BXDs n=280 (191 females/89 males) across 28 strains, Ntg-BXDs n=220 (158 females/62 males) across 27 strains] and 14 m [AD-BXDs n=221 (116 females/105 males) across 26 strains, Ntg-BXDs n=173 (110 females/63 males) across 25 strains], anxiety was evaluated using an elevated plus maze task. Mice were placed in the center of the maze and allowed to explore for 6 minutes. Video tracking software (ANY-maze, Stoelting Co.) was used to track the mouse and calculate the time spent in open versus closed arms of the maze as well as the number of arm entries into either open or closed arms, the total number of arm entries, and the total distance travelled in the maze.

Contextual Fear Conditioning

Following 3 days of habituation to transport and to the testing room, mice were trained on a standard contextual fear conditioning (CFC) paradigm as previously described (Neuner et al., 2015). Training consisted of a 180s baseline period followed by four mild foot shocks (1s, 0.9 mA), separated by 115±20s. A 40s interval following each foot shock was defined as the post-shock interval, and the percentage of time spent freezing during each of these intervals was measured using FreezeFrame software (Coulbourn Instruments, PA, USA). The percentage of time spent freezing during the final post-shock interval (PS4) was used as an index of contextual fear acquisition (CFA). Twenty-four hours later, hippocampus-dependent contextual fear memory (CFM) was tested by returning the mouse to the testing chamber for 10 min. The percentage of time spent freezing during the testing trial was measured using FreezeFrame software and used as an index of CFM. For CFC, 146 6 m AD-BXD (102 females/44 males) and 209 14 m AD-BXD (111 females/98 males) across 26 strains were used, along with 114 6 m Ntg-BXD (83 females/31 males) across 24 strains and 167 14 m Ntg-BXD mice (106 females/61 males) across 27 strains. Pain sensitivity was evaluated in a subset of mice by recording the length of activity burst following each shock. An average post-shock reactivity score was calculated by averaging the length of each activity burst following the four training shocks.

Enzyme-Linked Immunosorbent Assay (ELISA)

Brains were removed immediately following CFC at appropriate time points (6 m or 14 m) and hemisected. One half of the brain was immediately dissected, snap frozen, and stored at −80° C. until use. Beta-amyloid 1-42 (Aβ42) levels were quantified from sections of temporal cortex [6 m n=72 mice (46 female/46 male) across 22 AD-BXD strains, 14 m n=82 mice (43 female/33 male) across 21 AD-BXD strains] as previously described (Oakley et al., 2006). Briefly, tissue was homogenized in 1×PBS+1% Triton-X 100 using the TissueLyser II system (Qiagen) and sonicated 2×10s on low power. Protein concentration was determined using a NanoDrop 2000 UV-Vis Spectrophotometer (ThermoScientific, USA). Brain homogenates (10 mg/ml) were extracted in a final concentration of 5M GuHCl overnight at 4° C. Samples were then diluted appropriately and run in duplicate on Aβ42-specific sandwich colorimetric ELISAs according to the manufacturer's protocol (Cat #298-92401, Wako Chemicals, Richmond, Va.). Optical densities at 450 nm were read on a Biotek plate reader (BioTek, USA) and Aβ42 concentration was determined by comparison with Aβ42 standard curves. Only readings in the linear range of the standard curve were included in analysis. Duplicates were averaged to determine concentration of Aβ42 in each sample. Finally, Aβ42 concentrations were normalized to total protein concentration and are reported as nanograms of Aβ42 per milligrams of total protein.

Immunohistochemistry and Plaque Quantification

At harvest, the half brain not used for fresh dissection was placed in 4% paraformaldehyde and kept at 4 C until further use. In order to minimize technical variation in immunohistochemistry, brains were sent to Neuroscience Associates (Knoxville, Tenn.), where 40 hemibrains were embedded, processed, and stained simultaneously. Briefly, the brains were freeze-sectioned coronally at 40 μm intervals (not including cerebellum) and staining for Aβ1-42 was performed on every 24^(th) section spaced at 960 μm, yielding approximately 9 sections per hemibrain. For analysis, images of each section containing hippocampus were collected on a Nikon Eclipse 90i microscope using NIS-Elements Advanced Research program. Images were taken using a 2× objective with computer automated focusing. Approximately 4 images were captured for each hemibrain and stitched together using NIS-Elements Advanced Research program. ImageJ particle analysis was used to automate detection of plaques (Hurtado et al., 2010). Regions of interest (hippocampus and cortex) in each image were manually outlined and pixel size of each region calculated and used to determine the percentage of each area covered by amyloid plaques, controlling for regional size differences.

Heritability Estimates

Heritability estimates for each phenotype (Table 1) were calculated according to established methods (Belknap, 1998). Briefly, we compared between-strain variance (due to genetic diversity, V_(G)) to total sample variance (due to both genetic and environmental factors, V_(E)) given the average number of biological replicates per strain (n) according to the following formula:

=V_(G)/(V_(G)+V_(E)/n). The average number of mice per strain was used to represent n and is reported in Table 1. V_(E) was calculated by summing between-strain variance and within-strain variance, as within-strain variance should capture all variation not due to genetic diversity. As heritability was calculated using both males and females, within-strain variance will also capture variation due to sex. However, as we calculated heritability independently for each trait of interest across AD- and Ntg-BXDs, our heritability estimates do not capture variation due to age or genotype.

RNA Sequencing

Snap frozen hippocampi from AD-BXD strains and Ntg-BXD littermate controls at 6 m [AD-BXDs n=33 (15 females/18 males) across 13 strains, Ntg-BXDs n=31 (17 females/14 males) across 14 strains] and 14 m [AD-BXDs n=36 (16 female/20 male) across 14 strains, Ntg-BXDs n=33 (17 female/16 male) across 15 strains] were used for RNA sequencing. RNA was isolated on a Qiacube using the RNeasy mini kit (Qiagen) and treated with DNase to remove contaminating DNA. RNA quality was confirmed using a BioAnalyzer (Agilent Technologies). All samples had RNA Integrity Numbers (RIN values)>8.0. Sequencing libraries were prepared from 1 μg RNA with the Truseq Stranded mRNA Sample Preparation Kit (Illumina Inc) following the manufacturer's protocol. Final PCR-enriched fragments were validated on a 2200 Tapestation Instrument using the D1000 ScreenTape (Agilent Technologies) and quantified by qPCR using a Universal Library Quantification Kit (Kapa Biosystems) on the QuantStudio 6 Flex (ThermoFisher Scientific). Final library pools were sequenced by 75 bp paired-end sequencing on a HiSeq2500 (IIlumina Inc). Because both C57BL/6J and DBA/2J alleles segregate within our panel, the GBRS/EMASE pipeline developed by the Churchill group at The Jackson Laboratory was used in order to align reads to a diploid transcriptome (emase.readthedocs.io/en/latest/). An expectation maximization algorithm was used in order to align reads to the correct allele, allowing for the quantification of both total reads assigned to a gene and the number of reads assigned to either the B or D allele. For final by-strain analysis, samples belonging to the same strain/sex/age/genotype group were averaged. Differential expression analysis was conducted using the DESeq2 package (Love et al., 2014). For evaluation of transgene expression and its effect on endogenous App and Psen1 expression, RNA-sequencing reads from a larger subset of AD- and Ntg-BXDs [n=293 (177 females/116 males across 28 strains)] were sequenced according to identical methods and were additionally aligned to the mutated human APP and PSEN1 sequences. Expression was quantified using transcripts per million and then log transformed to compare expression across groups.

Comparison of AD-BXD and Human Transcriptomes

In order to evaluate how well the AD-BXD transcript profile matches that of human AD, we utilized a dataset recently published by Hargis and Blalock (Hargis and Blalock, 2017) comparing existing mouse models of AD to human AD. They identified a consensus AD signature consisting of 60 genes derived from the top 10% commonly upregulated and downregulated genes across three human AD datasets (data not shown). In order to see how the transcriptome from our AD-BXD panel compared to normal expression patterns, differential expression analysis comparing hippocampal gene expression from 14 m AD-B×D lines to non-carrier littermate controls was performed using DESeq2 (Love et al., 2014). The log₂ fold change (log 2FC) for each of the 60 AD consensus genes that were significantly differentially expressed (nominal p-value<0.05) across AD and Ntg-BXDs was identified and used for comparison across human and mouse datasets obtained from Hargis et. al. (Hargis and Blalock, 2017). To evaluate similarities between immune-enriched genes upregulated in AD-BXDs and gene lists identified as associated with AD from Zhang et. al. (Zhang et al., 2013) and Jones et. al. (International Genomics of Alzheimer's Disease, 2015), all three gene lists were uploaded into GeneWeaver (Baker et al., 2016) and Jaccardian similarity indexes were calculated and evaluated for significance.

Gene Set Enrichment Analysis

Gene set enrichment analysis (GSEA) was performed as previously described (Neuner et al., 2016; Subramanian et al., 2005). Briefly, significantly differentially expressed genes from the comparison of interest (data not shown) were ranked according to log₂ fold change. Gene ontology (GO) gene sets were obtained from the Broad Institute's Molecular Signatures Database (MSigDB) (Liberzon et al., 2015) and ranked gene lists were tested for enrichment using GSEA's GSEAPreranked feature, version 3.0. To compare functional annotation enrichment among differentially expressed genes across AD and normal aging (FIG. 5), GO terms identified in each comparison (data not shown) were extracted from GSEA results. A score for enrichment strength was calculated by transforming the FDR q-values generated by GSEA using the following formula: −log₁₀(FDRq+0.001), similar to that described in (Raj et al., 2017). The values calculated in each scenario (AD and normal aging) were then plotted against each other in FIG. 5 to identify those pathways with stronger enrichment in AD than normal aging, and vice versa.

Calculation of a Genetic Risk Score

To evaluate whether the AD-BXD panel was sensitive to variation in known AD risk loci, we derived a genetic risk score for each strain, similar to that described by Chouraki and colleagues in 2016 (Chouraki et al., 2016). Strains were first stratified into impaired (below the AD-BXD population average) and unimpaired (above the AD-BXD population average) based on CFM performance at 6 m. We then identified the genotype of each strain at 21 genes known to contribute risk for AD and identified the risk allele of each gene (i.e. the allele that appeared more frequently in the impaired group, Table 2). Note as some genes appeared in the same linkage block, only 19 genotypes were used in the calculation of the GRS. The odds ratio for each gene was calculated and log transformed to determine an individual risk score per gene. These individual risk scores were used to derive an overall genetic risk score for each strain that reflected how many copies of each risk allele were present. Overall genetic risk scores were transformed based on previous methods (Chouraki et al., 2016) using the following formula: total risk score*(# of markers tested/sum of individual gene risk scores). The GRS was then correlated to cognitive traits as reported. To avoid influence from our original definition of ‘impaired’ versus ‘unimpaired’ using 6 m CFM, we correlated GRS to uncorrelated, independent cognitive tasks. As contextual fear conditioning is a cross-sectional task, and we wanted to investigate the extent to which these genes regulated cognitive decline, we focused on cognitive tasks from a separate cohort of aged AD-BXDs, particularly 14 m CFA. Finally, to empirically estimate the null distribution for the correlation of our genetic risk score and cognitive traits of interest, we randomly sampled 1000 sets of 19 markers across the genome and repeated the derivation of GRS. We created 1000 GRS from randomly sampled data, and correlated each random GRS to strain-matched cognitive performance, which illustrated the correlation between 14 m CFA and our derived GRS was stronger than the correlation observed for 95% of randomly sampled genes. As an additional control, we repeated the process but based on allelic distribution of risk alleles across Ntg-BXDs. We defined Ntg-BXD strains as ‘impaired’ vs ‘unimpaired’ based on 6 m CFM performance, identified the risk allele for each of the 21 genes listed in Table 2, calculated the odds ratio for each, and derived a Ntg-based GRS. This GRS showed no relationship with cognitive outcomes in either Ntg- or AD-BXDs, or any non-cognitive traits tested. Table 2, gene lengths were obtained using start and end positions listed in Ensembl version 92 and SNP counts were obtained from Sanger, release REL-1505 (Keane et al., 2011).

Quantification and Statistical Analysis

All experiments and data analysis were conducted with experimenters blind to strain background and genotype (5XFAD vs Ntg) where appropriate. Statistical analysis was performed using SPSS software Version 23 (IBM), R, and Excel. Distribution was evaluated for normality using Shipiro-Wilkes test. Additional analyses included independent unpaired t-tests, univariate ANOVAs, Pearson correlation, and Jaccard index to test similarity. Correction for multiple comparisons was also used where appropriate (i.e differential expression analysis). Data values reported in both the main text and figure legends are given as mean±standard error of the mean unless otherwise stated. Outliers were identified based on a pre-defined criteria of average values±3 SD outside the mean.

Data and Software Availability

Genotypes from the BXD strains are publically available on GeneNetwork.org. Raw phenotype data will be made available on GeneNetwork and/or via the Mouse Phenome Database. RNA-sequencing from the hippocampus of a subset of AD-BXD strains is available on Gene Expression Omnibus (GEO) under accession number GSE101144. Data will also be deposited in the AMP-AD Knowledge Portal (doi: 10.7303/syn17016211). EMASE software used for alignment of RNA sequencing reads to a diploid transcriptome is available online at: (emase.readthedocs.io/en/latest/).

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All references, patents and patent applications disclosed herein are incorporated by reference with respect to the subject matter for which each is cited, which in some cases may encompass the entirety of the document.

The indefinite articles “a” and “an,” as used herein in the specification and in the claims, unless clearly indicated to the contrary, should be understood to mean “at least one.”

It should also be understood that, unless clearly indicated to the contrary, in any methods claimed herein that include more than one step or act, the order of the steps or acts of the method is not necessarily limited to the order in which the steps or acts of the method are recited.

In the claims, as well as in the specification above, all transitional phrases such as “comprising,” “including,” “carrying,” “having,” “containing,” “involving,” “holding,” “composed of,” and the like are to be understood to be open-ended, i.e., to mean including but not limited to. Only the transitional phrases “consisting of” and “consisting essentially of” shall be closed or semi-closed transitional phrases, respectively, as set forth in the United States Patent Office Manual of Patent Examining Procedures, Section 2111.03.

The terms “about” and “substantially” preceding a numerical value mean±10% of the recited numerical value.

Where a range of values is provided, each value between the upper and lower ends of the range are specifically contemplated and described herein. 

1. A method, comprising delivering to a subject having or at risk of Alzheimer's disease (AD) an agent that modulates transient receptor potential cation channel subfamily C, member 3 (TRPC3) expression and/or activity.
 2. The method of claim 1, wherein the agent decreases TRPC3 expression and/or activity.
 3. The method of claim 1, wherein the subject is a human subject.
 4. The method of claim 1, wherein the agent is delivered in an amount effective to alleviate one or more symptoms of AD and/or slow or stop progression of AD.
 5. (canceled)
 6. The method of claim 1, wherein the agent is delivered in an amount effective to improve working memory performance at least 10% compared to the subject's working memory performance prior to delivery of the agent and/or wherein the agent reduces the amount of beta-amyloid plaque by at least 40% compared to the amount of beta-amyloid plaque prior to administration of the agent.
 7. (canceled)
 8. The method of claim 1, wherein the agent is selected from polynucleotides, polypeptides, and small molecule drugs.
 9. A method comprising delivering to a subject having Alzheimer's disease an agent that modulates the expression of, or modulates the activity of, a product encoded by a pathway gene upstream from or downstream from TRPC3.
 10. The method of claim 9, wherein the agent decreases the expression of, or decreases activity of, a product encoded by a pathway gene upstream from or downstream from TRPC3.
 11. The method of claim 9, wherein the subject is a human subject.
 12. The method of claim 9, wherein the agent is delivered in an amount effective to alleviate at least one symptom of AD and/or slow or stop progression of AD.
 13. (canceled)
 14. The method of claim 1, wherein the agent is selected from polynucleotides, polypeptides, and small molecule drugs.
 15. A method comprising contacting a neuronal cell that expresses TRPC3 with an agent that modulates TRPC3 expression and/or activity.
 16. The method of claim 15, wherein the agent decreases TRPC3 expression and/or activity.
 17. The method of claim 15, wherein the agent is selected from polynucleotides, polypeptides, and small molecule drugs.
 18. A method comprising administering to an AD-BXD mouse a candidate agent that modulates TRPC3 expression and/or activity, and optionally assaying the mouse for an improvement in at least one symptom of AD and/or assaying the mouse for an adverse effect.
 19. The method of claim 18, wherein the agent decreases TRPC3 expression and/or activity.
 20. The method of claim 18, wherein the agent is selected from polynucleotides, polypeptides, and small molecules.
 21. The method of claim 1, wherein the adverse effect is toxicity.
 22. The method of claim 1, wherein the TRPC3 comprises an amino acid sequence of any one of SEQ ID NOS: 1-3.
 23. (canceled)
 24. The method of claim 1, wherein the TRPC3 is encoded by a nucleic acid sequence of any one of SEQ ID NOS: 4-6.
 25. (canceled) 